Student Admission
Please complete the form below to register the student with Tayside Islamic Centre Madrassah.
01
Please provide the student’s personal and educational information.
First Name *
Surname *
Date of Birth *
Gender *
MaleFemaleOther
Residential Address *
City *
Post Code
Current or Previous School Name
02
Please provide the contact information of the student’s parent or legal guardian.
Parent/Guardian Full Name *
Relationship with Student *
Select relationshipFatherMotherLegal GuardianBrotherSisterOther
Contact Number *
Email Address *
Parent/Guardian Address
03
Please provide any medical information relevant to the student’s care and wellbeing.
Medical Conditions, Allergies or Special Requirements
This information will be treated confidentially.
04
Please provide an alternative contact who can be reached in an emergency.
Emergency Contact Name *
Emergency Contact Number *
05
Please read the declaration and accept the Terms and Conditions before submitting.
I confirm that I have read and understand the terms and conditions of the TaysideIslamic Centre Madrassah as stated with the student registration form.
I have read and agree to the Terms and Conditions.
Fields marked with * are required.
