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Course Form
info
2024-11-20T14:41:33+11:00
Application form
(All Ages 5+)
Application Form - Liverpool
Application options
Book for yourself, your partner, AND children at the same time!
I am applying for:
(Required)
Myself
My married partner
My children
Your details
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Course
(Required)
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QUR'AN (BEFORE SCHOOL) - BOYS / MEN (AGES 8-80) - MON-FRI 6:30AM - 8:30AM
FIQH (PART-TIME) - MEN (AGES 18-80) - THU 7:00PM - 8:00PM
Name
(Required)
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Last
Gender
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Male
Female
Phone
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Email
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Address
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Street Address
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Post Code
My married partner
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Course
(Required)
SELECT A COURSE
QUR'AN (BEFORE SCHOOL) - BOYS / MEN (AGES 8-80) - MON-FRI 6:30AM - 8:30AM
FIQH (PART-TIME) - MEN (AGES 18-80) - THU 7:00PM - 8:00PM
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Phone
(Required)
Email
(Required)
Child 1
Enter all details for child 1
Course
(Required)
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QUR'AN (BEFORE SCHOOL) - BOYS / MEN (AGES 8-80) - MON-FRI 6:30AM - 8:30AM
QUR'AN (WEEKEND) - GIRLS (AGES 8-17) - SAT 10:00AM - 1:00PM
QUR'AN (AFTER SCHOOL) - BOYS & GIRLS (AGES 8-17) - MON & WED 5:00PM - 7:00PM
QUR'AN (AFTER SCHOOL) - BOYS & GIRLS (AGES 8-17) - TUE & THU 5:00PM - 7:00PM
FIQH (PART-TIME) - BOYS & GIRLS (AGES 8-12) - MON 7:00PM - 8:00PM
FIQH (PART-TIME) - BOYS (AGES 13-17) - TUE 7:00PM - 8:00PM
FIQH (PART-TIME) - GIRLS (AGES 13-17) - SAT 9:00AM - 10:00AM
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
8
to
17
.
DOB
(Required)
Month
Day
Year
Child Medical Information
(Required)
Add 2nd child
Add 2nd child
Child 2
Enter all details for child 2
Course
(Required)
SELECT A COURSE
QUR'AN (BEFORE SCHOOL) - BOYS / MEN (AGES 8-80) - MON-FRI 6:30AM - 8:30AM
QUR'AN (WEEKEND) - GIRLS (AGES 8-17) - SAT 10:00AM - 1:00PM
QUR'AN (AFTER SCHOOL) - BOYS & GIRLS (AGES 8-17) - MON & WED 5:00PM - 7:00PM
QUR'AN (AFTER SCHOOL) - BOYS & GIRLS (AGES 8-17) - TUE & THU 5:00PM - 7:00PM
FIQH (PART-TIME) - BOYS & GIRLS (AGES 8-12) - MON 7:00PM - 8:00PM
FIQH (PART-TIME) - BOYS (AGES 13-17) - TUE 7:00PM - 8:00PM
FIQH (PART-TIME) - GIRLS (AGES 13-17) - SAT 9:00AM - 10:00AM
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
8
to
17
.
DOB
(Required)
Month
Day
Year
Child Medical Information
(Required)
Add 3rd child
Add 3rd child
Child 3
Enter all details for child 3
Course
(Required)
SELECT A COURSE
QUR'AN (BEFORE SCHOOL) - BOYS / MEN (AGES 8-80) - MON-FRI 6:30AM - 8:30AM
QUR'AN (WEEKEND) - GIRLS (AGES 8-17) - SAT 10:00AM - 1:00PM
QUR'AN (AFTER SCHOOL) - BOYS & GIRLS (AGES 8-17) - MON & WED 5:00PM - 7:00PM
QUR'AN (AFTER SCHOOL) - BOYS & GIRLS (AGES 8-17) - TUE & THU 5:00PM - 7:00PM
FIQH (PART-TIME) - BOYS & GIRLS (AGES 8-12) - MON 7:00PM - 8:00PM
FIQH (PART-TIME) - BOYS (AGES 13-17) - TUE 7:00PM - 8:00PM
FIQH (PART-TIME) - GIRLS (AGES 13-17) - SAT 9:00AM - 10:00AM
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
8
to
17
.
DOB
(Required)
Month
Day
Year
Child Medical Information
(Required)
Add 4th child
Add 4th child
Child 4
Enter all details for child 4
Course
(Required)
SELECT A COURSE
QUR'AN (BEFORE SCHOOL) - BOYS / MEN (AGES 8-80) - MON-FRI 6:30AM - 8:30AM
QUR'AN (WEEKEND) - GIRLS (AGES 8-17) - SAT 10:00AM - 1:00PM
QUR'AN (AFTER SCHOOL) - BOYS & GIRLS (AGES 8-17) - MON & WED 5:00PM - 7:00PM
QUR'AN (AFTER SCHOOL) - BOYS & GIRLS (AGES 8-17) - TUE & THU 5:00PM - 7:00PM
FIQH (PART-TIME) - BOYS & GIRLS (AGES 8-12) - MON 7:00PM - 8:00PM
FIQH (PART-TIME) - BOYS (AGES 13-17) - TUE 7:00PM - 8:00PM
FIQH (PART-TIME) - GIRLS (AGES 13-17) - SAT 9:00AM - 10:00AM
Name
(Required)
First
Last
Gender
(Required)
Select a gender
Male
Female
Age
(Required)
Please enter a number from
8
to
17
.
DOB
(Required)
Month
Day
Year
Child Medical Information
(Required)
Emergency Number
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Emergency relationship
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Sibling
Mother
Father
Uncle
Aunt
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