Application Form

Weekday Madrasah Class

Please complete all sections. Incomplete applications may be rejected.

schedule

Schedule

Monday – Friday | 5:00 PM – 7:00 PM

Open to students aged 6 to 18 years. Students are placed into classes according to their age group and learning level.

Class Option

Tick preferred Class option *

Option 1: Mon / Wed / Fri Option 2: Tue / Thu / Fri Any (Flexible)

Child's Details

Full Name *

Date of Birth *

Address *

Contact Number *

Gender *

Male Female

Parent / Guardian 1

Full Name *

Contact Number *

Email Address * We send your application confirmation to this address.

Address *

Parent / Guardian 2 (optional)

Full Name

Contact Number

Address

About the Pupil

Languages Spoken *

Name of School *

Please give details of any allergies (if applicable)

Please give details of any medical conditions (if applicable)

Tick your child's Qur'aan / Islamic studies level *

Advance Intermediate Beginner

Admission Fee

£20

per child, non-refundable

Books Fee

£20

per child

Monthly Fee

£35

per child

£75 is payable when first joining (admission + books + first month). Fees must then be paid on the 1st of every month.

By submitting, you agree that SLIC may store these details to process your child’s admission. Fields marked * are required.