Form

1st Child*
First Name Last Name
Age:*
must be from 6 yrs
Gender*
Level*
2nd Child
First Name Last Name
Age:
must be from 6 yrs
Gender
Level
3rd Child
First Name Last Name
Age:
must be from 6 yrs
Gender
Level
4th Child
First Name Last Name
Age:
must be from 6 yrs
Gender
Level
Madrasah attended
Parent's Name*
First Name Last Name
E-mail
Home Tel:
Mobile*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

1 . Your child to be tought Quran reading according to our method of teaching.2 . Your child will always be on time and will not leave before the class finished unless for a particular reason.3 . Your child will respect the rules of the room.4. You will respect the decision made by the teachers.5 . You will follow all the instruction given by the teachers.6 . You agree to be responsible for your sound and technical problems during the class.7 . You set up a standing order with your respective bank.8 . If using PayPal, you agree to setup monthly recurring payment.9 . In case of payment default, your child will be excluded for that period until the issue is resolved.10. If you decided to withdraw your child, You agree to inform at one month in advance.11 . We have the right to terminate this contract at anytime.
Do you agree?*

Yes
You must set up a standing order with your bank before you can join any Quran classes. You will receive an email shortly after submission showing your reference which you must write it in the standing order provided below. Do not send the standing order to your bank without this reference please.

Download Standing Order Form Here

If you use a standing order form please make sure you receive email containg your payment reference before you setup a standing order with your bank
Enter the message as it's shown*

For those who wish to Use other method of payment please click here

Online Payment

1 child( £15.00 GBP for the first month then, £15.00 GBP for each month .)
2 children( £30.00 GBP for the first month then, £30.00 GBP for each month .)
3 children( £45.00 GBP for the first month then, £45.00 GBP for each month .)
4 children( £60.00 GBP for the first month then, £60.00 GBP for each month .)

Total: £0.00 GBP

Payment Method

Credit Card
First Name	Last Name
- Credit Card Number Security Code
/ Expiration Month Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty: