IANL Academy Registration Form

Pupil Information

Pupil's current school year

What class are you enrolling the child for

What languages does the child know?

Does the Pupil have any special needs, or any allergies / medical conditions? If so, please elaborate and complete the additional Medical Information Form

Name of other siblings in IANL Academy

Please provide previous Islamic education experience. (i.e. None, Started Qaidah, Completed Qaidah, Can read Quran etc). For Hifdh applicants: insert number of Juz memorised & previous Institution Details (if memorised at home with parent, please mention this)

Parent/Guardian 1


Enter address if different

Parent / Guardian 2


Enter address if different

Is this parent/guardian an emergency contact. If not an emergency contact can be provided below.

Alternate Emergency Contact: