Previous Educational Background (Secular):
Previous School Name:*
Address:*
Street Address Address Line 2 City County Post Code Country
Key Stage 2 SATs Results
Do you have Key Stage 2 SATs Results?*
- NO
- YES
Upload Key Stage 2 SATs Results*
Drop files here or
Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 128 MB, Max. files: 10.
If your child is in year 6, then we will require the SATs results when you receive it at the end of year.

Previous Educational Background (Islamic):
Previous Madrasah Name:*
Address:*
Street Address Address Line 2 City County Post Code Country
If you want to join the Hifz Class
Has your child memorised any part of the Quran Majeed? If YES, how many Juzz/paras?*
- NO
- YES
How many Juzz?*
Has your child read the whole Quran Majeed?*
- NO
- YES
How much have you read?*

Medical Information / Dietary Needs
Medical Background:*
Does your child have any medical needs?
- NO
- YES
Please provide details:*
Special Education Needs:*
Does your child have a statement of special education needs?
- NO
- YES
Please provide details:*
Dietary Background:*
Does your child have any dietary requirements?
- NO
- YES
please provide details:*
Local Authority:
Are you being cared for by a local Authority?
- NO
- YES
Please provide details:*

Parent / Guardian Declaration
To process your application, please bring the following documents and fees:
- Copy of your child’s Birth Certificate
- Copy of your child’s SATs Results
- Your child’s latest School report
- Admission fee of £25 to process the application
The purpose of this form is to collect data for further processing within the school/systems. Your signature on this form implies your consent for the school to process the data. The data will be processed in accordance with the purposes notified by the school to the Information Commissioner's Office and is subject to the GDPR regulations. The information given will be entered onto a computer and will form part of the School’s database. This information will also be shared with Local authority, Ofsted, Keys and other relevant agencies. Please see the school’s privacy notice for further details.Please ensure this application form is fully completed before admitting it to the school office
*
- Select All
- I declare the above information to be correct to the best of my knowledge at the time of completion.
*
- Select All
- I agree to notify the school of any change in my child’s circumstances.
Parent / Guardian Signature:*
Name of signed parent:*
Date of application:*
DD slash MM slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Submit Admission

Pupil Details: (All details are to be filled in)