Chadwell Heath Maktab Application Form

Chadwell Heath Maktab Application Form

Complete the application with your details, your child’s information, and emergency contacts.
Parent/Guardian Information
Parent/Guardian Full Name
Phone Number
Email Address
Child Information
Child's Full Name
Date of Birth

DayMonthYear
Date
Age
Gender
Learning Information
Can your child read the Qur'an?
Has your child attended a Maktab before?
If yes, where?
Medical & Emergency
Does your child have any medical conditions, allergies, or additional needs we should be aware of?
Emergency Contact Name
Emergency Contact Number
Agreement
I understand that places are limited to 14 students per class and are allocated on a first come, first served basis.
I confirm that the information provided is accurate.
Please note: Each class is limited to 14 students, and places will be allocated on a first come, first served basis. Submission of this form does not guarantee a place until your registration has been confirmed.
Should be Empty: