Corby Central Masjid

Corby Central Masjid Madrasa Admission Form

We welcome applications to the Corby Central Masjid Madrasa for children aged 5 to 13 years, where we aim to provide a nurturing environment for children to learn the Qur'an and develop strong Islamic values. Classes are held on weekdays from 5:00 PM to 7:00 PM, offering structured learning in Qur'an recitation, Islamic studies, and character development.

Please note that, due to limited capacity, some applicants may be placed on a waiting list, and places will be offered as they become available.

Student Details

First Name *

SurName

Date Of Birth *

Year Group *

Gender *

Male Female

School Name

Parent/Guardian Details

Full Name *

Relationship to Child *

Contact Number *

Email Address *

Home Address *

Emergency Contact

Name *

Contact Number *

Relationship *

Medical Information

Any additional needs (SEN / Behavioural)? *

Yes No

Class Information

Class Timing

Previous Madrasa

Current Level *

Qaida Quran Reading Memorisation Juz Amma

Can the child read Arabic? *

Yes No

Photo Consent

Internal records:

Yes No

Social Media

Website/social media:

Yes No

Medical Consent

I give permission for basic first aid if required:

Yes No

Data Protection (GDPR)

We will use your information only for madrasa administration and communication purposes. Your data will be stored securely and will not be shared with third parties.

I agree to the data protection policy *

Declaration

I confirm that the information provided is accurate and I agree to abide by the madrasa rules and policies *

Madrasah Admission