Children’s Class Form

Student's Details

Date of Birth *
Gender *MaleFemale

Class Preferred*: In PersonOnline

Pupil's Medical Particulars

State if the Child Suffers from any Particular Ailment or Disease *YesNo

Father / Guardian's Particulars

Mother / Guardian's Particulars

Indemnity

Capacity FatherMotherGuardian

I, the undersigned parent / guardian of student hereby absolve the South African Islamic Centre or any person employed by the Centre from all liability for any loss of property and / or damage sustained by reason of injury to the said student’s property for the time he / she enrolls as a student of the Madrasah.

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