Girls Sign Up Form | Sutton Coldfield Islamic Youth Group

GIRLS WAITING LIST

ISLAMIC YOUTH GROUP

PARENT/GUARDIAN

PARENT 1

Relation

What is your relationship to the child?

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First Name

Enter your first name.

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Last Name

Enter your last name.

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Phone Number

Enter your phone number.

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Enter your email address.

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PARENT 2

Relation

What is your relationship to the child?

This field is required

First Name

Enter your first name.

This field is required

Last Name

Enter your last name.

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Phone Number

Enter your phone number.

This field is required

Enter your email address.

This field is required

CHILD

ADD CHILD

CHILD ONE

Gender

What is the gender of your child?

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Date of Birth

Enter the child's Date Of Birth.

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First Name

Enter your first name.

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Last Name

Enter your last name.

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Allergies

Please inform us if the child has any allergies.

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BACK

ADD ANOTHER

SAVE & CONTINUE

CHILD TWO

Gender

What is the gender of your child?

This field is required

Date of Birth

Enter the child's Date Of Birth.

This field is required

First Name

Enter your first name.

This field is required

Last Name

Enter your last name.

This field is required

Allergies

Please inform us if the child has any allergies.

This field is required

BACK

ADD ANOTHER

SAVE & CONTINUE

CHILD THREE

Gender

What is the gender of your child?

This field is required

Date of Birth

Enter the child's Date Of Birth.

This field is required

First Name

Enter your first name.

This field is required

Last Name

Enter your last name.

This field is required

Allergies

Please inform us if the child has any allergies.

This field is required

BACK

SAVE & CONTINUE

NAMES ADDED

EDIT

ADDRESS

Address Line 1

Enter the first line of your address.

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Address Line 2

Enter the second line of your address.

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Town / City

Enter your town or city.

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Postcode

Enter your postcode.

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There may be a short delay after pressing submit. Please wait, you do not need to re-submit.

Your sign up form has been sent. You will receive email confirmation of your application. Jazāk Allāhu Khayran.

There was a problem submitting this form. You can email us directly at: support@suttoncoldfieldmasjid.org

Sutton Coldfield Muslim Association is a UK registered charity (no. 1020820).

Address

Anchorage Road
Sutton Coldfield
West Midlands
B74 2PL
United Kingdom

GIRLS WAITING LIST

ISLAMIC YOUTH GROUP

PARENT/GUARDIAN

PARENT 1

PARENT 2

CHILD

CHILD ONE

CHILD TWO

CHILD THREE

NAMES ADDED

ADDRESS

Address

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