Al Isharah Islamic School (AIS) Registration Form

Student's Details

First Name Last Name Date of Birth Address Name of School Year Group Please choose which course you would like your child to enrol on BSLOral Has your child attended an Islamic class before? YesNo If yes, please give details of the organisation including the address Are there any other members of your family that are deaf? YesNo If yes, please tell us the relationship to the child Please let us know of any medical information about your child, i.e. any medication, health condition or allergies Does your child have any other special or additional needs? YesNo If yes, please state below what support may be required. You may also email us a copy of your child's EHCP (Education Health Care Plan)

Parent 1 Details

Name Mobile Number Email address Home Telephone Number

Parent 2 Details

Name Mobile Number Email address Home Telephone Number

Emergency Contact Details

Name Relationship to Child Mobile Number I consent for taking photos/videos of my child participating in classroom activities/school trips/external events as and when required for publicity and promotion purposes YesNo Where did you hear about Al Isharah Islamic School?