Raziil : Child Registration Form

Jazakum Allahu khairan for your interest with Hayes Muslim Centre Madrasah. Registration for 2024-2025 is now CLOSED!

You have successfully Registered.

Please fill in all required fields!

Student Details :

Parents / Guardian Details :

(Landline - Not Mobile)

(This number will be used as primary contact number)

When you are asked to sign the DD mandate for monthly fee, remember to use the same email that you enter here

Emergency Contact Details :

(Please provide an emergency phone number to contact in case of the above phone number's are not reachable)

Present Address :

Create a username and password to access the parent portal :

Please create a username and password to access the parent portal to monitor student progress
(example: username : your first name or your email id password : any password at least 6 characters)

Transport :

Mode of transport that will be used by pupil to and from Madrasah:

Do you permit your child to go home alone : Yes No

(Only applicable for 11 or above)

Islamic Education History / Other Information :

Already attended islamic education Yes No If yes please provide details below

I agree to the Terms and Conditions

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