Madrassah Admission | Ghausia Masjid Dewsbury

New Madrassah Admission Application

To enrol your child into Ghausia Madrassah, please complete the form below. Please fill in as many fields as possible so we can best support your child. We will review your application and get back to you as soon as possible.

Parent / Guardian Details

Full Name *

Relationship to Child *

Contact Number *

Email Address *

Home Address *

Child's Information

Forename *

Surname *

Date of Birth *

Gender *

Previous Madrassah (if any)

Reason for Leaving

Medical Information

GP Name

GP Contact Number

GP Address

Any Serious Illness

Allergies

Medical Condition

Special Needs

Lone Walking Agreement

I hereby give my permission for my child (who is aged 10 years or older) to walk to or from Madrassah on their own. I understand that I take full responsibility for this and absolve Ghausia Madrassah of all responsibilities and liabilities in this regard.

Agreement Signed

Signed By

Relationship to Child

Any Other Information

Form Signature

Signed By *

Relationship to Child *

Signature Date *

I confirm that the information provided above is accurate and I consent to Ghausia Madrassah holding this data for the purpose of processing this admission application.

We will review your application and contact you within 3–5 working days. If you have any questions please contact us.

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