Madrasah

Please complete the application below to apply for a place for your child at Al-Haqq Academy Madrasah.

Madrasah

Child's Name

Child's Date of Birth

Child's Gender

Child's Home Address

Does your child have any health conditions or allergies? If so, please elaborate and tell us how we may need to manage this / what precautions we may need to take:

1st Parent/Guardian Name

Parent/Guardian 1 Mobile Number

Parent/Guardian 2 Name

Parent/Guardian 2 Mobile Number

Any other information you wish to share:

If you are human, leave this field blank.