Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastAge *Date of Birth *BoyGirlAddress *Which evening school / madrasah does the child attend at the moment? (or enter 'None') *Parents Mobile Number (s) *Other Contact Number(s)Email *If your child has any health problems, please give details or enter 'None' *Checkbox Items *I understand that any information given will be used in line with Al-Hijrah Trust's Data Protection Policy. Please see the Home page for our Privacy Notice.CommentSubmit
