Al-Hayat Ramadan Workshop Form 2025

AL-HAYAT CENTRE SOUTHAMPTON

Dukes Road, Southampton, SO14 0SQ
Annual Ramadan Workshop For Kids Application form 2025

AGES 5-12

To register, please complete and submit the Application form. JazakAllah.
CHILDS NAME*

FORENAME(S)SURNAME
DATE OF BIRTH*

MonthDayYear
AGE*
Address*

Street Address

Street Address Line 2

City

Postcode
NOTICE OF DISABILITY (if any)
ALLERGIES (if any)
PARENT/GUARDIAN
FORENAME(S):*
SURNAME:*
Address (if different):

Street Address

Street Address Line 2

City

Postcode
HOME NUMBER
Please enter a valid Home Telephone number
MOBILE NUMBER*

+44Please enter a valid mobile number
RELATIONSHIP TO CHILD*
Parent Email*
example@example.com
I give permission for my child to appear on our social media platforms. 📷*
My child will be staying for Iftar (Note: food will include Pizza, Chicken Nuggets & Chips). If your child suffers from any allergies please contact the Al-Hayat team.

YesNo
REGISTRATION FEE I will make payment of £12 via:

Bank transferCash (on the day)
PLEASE NOTE:
•If your child is not staying for Iftar please collect before Salatul Maghrib. We encourage all children above the ages of 7 to stay and participate in the Taraweeh prayers thereafter.

To secure a place for your child please ensure form has been submitted by Wednesday 12th March. Places are limited!

BANK DETAILS FOR ONLINE TRANSFER:

Al-Hayat Trust
Account no: 05675069
Sort code: 08-71-99
Ref: (CHILDS NAME) Workshop
DATE*

DayMonthYear
NAME OF PARENT/GUARDIAN*
I have read and understood the conditions of use on the back of this form please sign.*

Clear
Should be Empty:

AL-HAYAT CENTRE SOUTHAMPTON

PARENT/GUARDIAN