Iqraa Enrolment Form

Ages (6 - 17)

Please complete the form below to register your child for our Islamic classes. These classes focus on Quran and Islamic Studies, helping students build strong faith, understanding and good character.

Schoolwork support, including help with Mathematics, English and EALD, is currently available for primary school students.

All information provided will remain confidential and will be used only for enrolment and communication purposes.

Full Name *

First

Last

Student's Date of Birth *

Student's Gender *

Male
Female
Others

School Grade *

Medical Conditions *

Asthma
Allergies (please specify) **
ADHD (Attention Deficit Hyperactivity Disorder)
ADD (Attention Deficit Disorder)
Autism / ASD (Autism Spectrum Disorder)
Anxiety
Speech or Language Delay
Hearing Impairment
Visual Impairment
Learning Difficulty (e.g. Dyslexia, Dysgraphia, Dyscalculia)
Behavioural Concerns
Medical Condition (please specify)**
No known conditions

Specify Medical Conditios

Student's Address *

Parent 1: Full Name *

First

Last

Parent 1: Contact Number *

Parent 1: Email Address *

Parent 2: Full Name

First

Last

Parent 2: Contact Number

Parent 2: Email Address

Photo/Video Permission *

Do you give permission for your child’s photo or video to be taken and used for class displays, newsletters, website, social media or flyers related to the Islamic classes?

Iqraa Academy, in collaboration with Imam Hasan Centre, is built on a strong leadership team with over a decade of experience in providing quality Islamic education and nurturing young minds.

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Contact

Get in touch

2 Girralong Ave, Baulkham Hills NSW 2153
0433 536 619
info@iqraa.com.au

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Prayer Times: 9 Sha'ban 1447

New Admission

Iqraa Enrolment Form​

Ages (6 - 17)

Iqraa Enrolment Form