2026 Madrassah Enrollment Form

WB Madrassah 2026 Enrollment Form

Complete this form
Returning studentNew student

Personal Particulars of Learner

All details are confidentially managed
Name*

First NameLast Name
Date of birth*

MonthDayYear
Date
Age*
Grade*
Sport House
Personal email address: (only for grade 4-7 students)*
example@gmail.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent or Guardian Particulars
Parent 1 Name*

First NameLast Name
Parent 1 Phone Number*

Area CodePhone Number
Parent 1 Email*
example@example.com
Parent 2 Name

First NameLast Name
Parent 2 Number

Area CodePhone Number
Parent 2 Email
example@example.com
Additional Guardian

Area CodePhone Number
Additional Guardian Email
example@example.com
Preferred Phone Number for Updates (WhatsApp/SMS)

Area CodePhone Number

Health Information

YOUR SON’S PERSONAL SAFETY & WELL-BEING IS IMPORTANT TO US, SO KINDLY ANSWER THE QUESTIONS BELOW:
Are there any food allergies and/or medical conditions we should know about?
In the event of an emergency who should be contacted?
YesNo
If yes, where?
Will he be collected at the Madrassah? If so, by whom?
Does he travel with a lift club? If yes, where does he meet his transport?
Submission Date

MonthDayYear
Date
Other information
We certify that all the above information is correct and agree to participate in all fundraising events of the Madrassah.*

PAYMENT CONTRACT

for returning student
I First Name Last Name the undersigned, being the parent / guardian, of Learner First Name Learner Last Name residing at Street Address Address Line 2 City Post code hereby undertake to pay school fees for Islamic Educational Services provided by the Wynberg Boys’ Madrassah of the above-mentioned child/children.

Madrassah fees for the year 2026 are R3250 (excluding administration fee of R250 for all students– kindly paid upfront by 3 February).
If you have more than two children in the madrassah, please contact us for a special reduced rate.

The Madrassah's banking details remain unchanged for now. Please be aware that these details may be updated in the future, and we will notify you accordingly.
Monthly R325.00 over 10 monthsQuarterly R812.50 per termAnnually R3250.00
**Failure to pay for services rendered will be breach of the above commitment. Parents are liable for the full year’s fees, regardless of when a child is taken out of the Madrassah. Should this agreement be breached and no consultation is made, the Madrassah also reserves the right to terminate the Islamic Educational Services provided to your child/children.
Signed at place* on this day day* of month* .

Parent Signature* Signature of witness*
MADRASSAH CONTRACT
AS A PARENT I HAVE READ AND UNDERSTOOD THE RULES AND REGULATIONS, WHICH ARE VITAL FOR MY CHILD’S ISLAMIC EDUCATION.

I AM SIGNING BELOW TO ENSURE THAT MY SON AGREES TO ABIDE BY THESE RULES, AND UPHOLDS THEM.
I Learner Name* Learner Surname* have been explained the rules and regulations and will obey them.

Learner Signature* Parent Signature* Date*

PAYMENT CONTRACT

for new student
I First Name Last Name the undersigned, being the parent / guardian, of Learner First Name Learner Last Name residing at Street Address Address Line 2 City Post code hereby undertake to pay school fees for Islamic Educational Services provided by the Wynberg Boys’ Madrassah of the above-mentioned child/children.

Madrassah fees for the year 2026 are R3250 (excluding once-off registration fee of R250 and an administration fee of R250 – kindly paid upfront by 28 February).
If you have more than two children in the madrassah, please contact us for a special reduced rate.

The Madrassah's banking details remain unchanged for now. Please be aware that these details may be updated in the future, and we will notify you accordingly.
Monthly R325.00 over 10 monthsQuarterly R812.50 per termAnnually R3250.00
**Failure to pay for services rendered will be breach of the above commitment. Parents are liable for the full year’s fees, regardless of when a child is taken out of the Madrassah. Should this agreement be breached and no consultation is made, the Madrassah also reserves the right to terminate the Islamic Educational Services provided to your child/children.

**Please WhatsApp the Madrassah Number (063 717 7121) to confirm enrollment.
Signed at place* on this day day* of month* .

Parent Signature* Signature of witness*
MADRASSAH CONTRACT
AS A PARENT I HAVE READ AND UNDERSTOOD THE RULES AND REGULATIONS, WHICH ARE VITAL FOR MY CHILD’S ISLAMIC EDUCATION.

I AM SIGNING BELOW TO ENSURE THAT MY SON AGREES TO ABIDE BY THESE RULES, AND UPHOLDS THEM.
I Learner Name* Learner Surname* have been explained the rules and regulations and will obey them.

Learner Signature* Parent Signature* Date*

End of Form: Terms and Conditions Agreement
- Students (Grades 4-7) must provide a personal email address for Google Classroom.
- An admin fee of R250 is required for all students.
- For enrolment of new students, please WhatsApp the number 063 717 7121 to confirm enrolment.
Should be Empty:

WB Madrassah 2026 Enrollment Form

Personal Particulars of Learner

Parent or Guardian Particulars

Health Information

PAYMENT CONTRACT

MADRASSAH CONTRACT

PAYMENT CONTRACT

MADRASSAH CONTRACT

End of Form: Terms and Conditions Agreement