YMA Saturday Madrasah enrolment
Student Enrolment to be completed by a parent/guardian aged 18 and over.
Student Information
Personal information about the Student enrolling.
Name
*
First Name
Last Name
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Gender
*
Please Select
Male
Female
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
Suburb
State
Post Code
School Class
Please Select
Grade 4
Grade 5
Grade 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Tertiary/Other
This is your year level at School (Mon-Fri) for the current academic year
What is your Qur'an recitation fluency level?
*
Can fluently read without errors
Can read with some errors
Struggle to read
Have not learnt to read
Medical Conditions
It is essential that staff are aware of any medical conditions the student may have to best cater for them.
Do you have any diagnosed Medical conditions?
This includes diagnosed learning or behavioural conditions.
Do you have any special dietary requirements?
Medicare Number
*
Parent / Guardian / Next of Kin Details
Information about a parent/guardian/next of kin for the student (must be aged 18 years and older)
Name
*
First Name
Last Name
Mobile Number
*
Relationship to student
*
Photography & Film Permission
For purposes of documentation, marketing, and evaluation, it is necessary to take photos/videos of students. Images may be used for printed publicity, online and social media activities. We will not use the student's image without your consent.
Photography & Filming Permission
*
Please Select
I give photo / film consent
I do not give photo/film consent
Declaration
By ticking the box below you are agreeing that the above information is correct and you will inform YMA Weekend School of any changes to details.
To be completed by a parent / legal guardian.
*
I agree that the above information is correct.
Payment
Payment of fees is a requirement to secure enrolment. If you require financial assistance, please contact admin team.
Select payment
*
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Saturday Madrasah 2025 Full Fee
$
800.00
AUD
for each
year
Saturday Madrasah 2025 instalments
$
100.00
AUD
for each
two weeks
Email
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Email
example@example.com
Should be Empty: