Welcome to the registration form Qimmah Maktab/Madrasa. Classes are held at Apex Secondary School - 287 Cranbrook Road, Ilford, IG1 4UA. 
5-7pm, Monday-Thursday.

To complete your child’s registration, please provide accurate information below. Your submission confirms your agreement to our terms and conditions, which are listed at the end of this form.  

Number of Children

1st Child's Name

1st Child's Date of Birth

1st Child's Gender

2nd Child's Name

2nd Child's Gender

2nd Child Date of Birth

3rd Child's Name

3rd Child's Gender

3rd Child Date of birth

4th Child's Name

4th Child's Gender

4th Child Date of Birth

Parents Full Name:*

Phone *

Email *

Disclaimer and Terms & Conditions:

Please read the following carefully. By submitting this form, you agree to the following:

No Refund Policy:
Class fees are non-refundable once paid.

Behaviour and Conduct:
Students are expected to behave respectfully toward teachers and fellow students. Any disruptive behaviour may result in removal from the class without refund.

Media Consent:
Occasionally, we may take photos or videos during classes for promotional purposes. Please indicate whether you consent to your child being featured in any media.

No, I do not consent to my child’s participation in media.