Swansea Mosque Academy

Main Parent Name*

NameLast Name (Family Name)

Main Parent Relationship to Student:*

Main Parent Same Address As Student?

YesNo

Main Parent Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

Main Parent Telephone Number

Please enter a valid phone number.

Main Parent Mobile Number*

Please enter a valid phone number.

Main Parent Email*

Please Use Same Email for Payments

2nd Emergency Contact Name*

NameLast Name (Family Name)

2nd Emergency Contact Number*

Please enter a valid phone number.

2nd Emergency Contact Email

example@example.com

Photo Consent:

We would be grateful if you would fill in this form to give us permission to take photos of your child during lessons, ceremonies, and events. These photos are for records and memories but may occasionally be used for advertising and fundraising purposes.

I give permission to take photographs and / or video of my child. *

YesNo

Swansea Academy Policy:

1. It is the responsibility of the parent/ child to ensure the student arrives for class, promptly. Lateness will have a negative impact on learning.

2. We expect 100% attendance so that your child may succeed in their learning. However, any absences must be reported.

3. Any holiday requests must be made with a minimum of 2 weeks’ notice. Holidays may be granted at the discretion of the Headteacher and class teacher.

4. We strive to reward learning and any accomplishments, we expect parents to make every effort to attend any events they are invited to, to share in their child’s achievements.

5. Remember, your child will reach and surpass their full potential if you support their learning at home, on a regular basis.

6. Fees will be collected at the beginning of every month. Failure to make payment in the termination of your child’s admission.

7. Keep in touch with us! We strive to equip your child with the right tools for learning, reading, and Islamic Studies. Talk to us if you have any concerns or queries, so that we may do the best we can for our students.

8. Communication will be made via email and WhatsApp.

If your child is in Year 5 or above (Aged 10 and above) please tick this box if you agree for them to walk home unaccompanied by an adult.

YesNo

Does the child have other siblings attending the Madrasah?

YesNo

Name(s) of siblings attending the Madrasah:

	Full Name of Sibling
Sibling 1
Sibling 2
Sibling 3
Sibling 4
Sibling 5

Signature*

Parent/Guardian Details