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






Yes


Enter address if different













Parent / Guardian 2






Yes


Enter address if different











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

Alternate Emergency Contact: