Contact n(F 07877676061
MASJID- E- UMAR
Masjid- e- Umar
Monton street
Bolton
BI3 3DS
Madrassakl Application Form
Please coniplete this forTn in BLOCK CAPITALS in BLACK INK
Settiort 1- Studertt Details
ForenarThes'.
Surncme..
Date ofj BirtFL'.
Address".
TowrLI City-.
Age..
Male l Female..
Postcode..
Home Telephone..
School Year Group..
School Name..
ection 2 - ParentlGuardiart Details
MotherlGuardi(UL Detai15
FatFLer1GuardL(￿ Detai15
Ntyne..
Ntyne..
Addres5 (if Different)..
City l TowrL'.
Postcode..
Addres5 (if Different)..
City l TowrL'.
Postcode..
Mobile Telephone..
Email Addre55'.
Mobile Telephone..
E￿all Addre55'.
ection 3 - Emer9ency Contact Details (DIFFERENT TO ABOVE)
Emergency Contact 1
Emergency Contact 2 (optiond)
Name..
Name..
Addres5'.
Addres5'.
City l TowrL'.
Postcode..
City l Town..
Postcode..
Mobile TelepFLone'.
Relationship to Child..
Mobile TelepFLone'.
Relationship to Child..

ettion 4- Medicoi Infomiatiort
Does your cFLild have any medical conditiorLS.
If yes, please gLve det(iils
Ye5 1
Will your child be carrying any medication.
If ye5, please give details-
Yes
Does your child have any allergies.
If yes, please gLve details
Yes
Does your child have SEN Ispecial Educational Needs)?
If ye5, please give details-
Yes
o you give perrThissiorL Jor First Aid to be allowed on your child?
Ye5
ertion 5 - Current Student detai
O YOLL have any other childrerL enrolled at this Madras5ah?
es,
ill details out below
Child's Name
Age
Class
ettiort 6- Previous Modrassah Hstory
Has your child attended a Madrassah previously.
If ye5, please give details
Yes
Na￿e ofj the Madraaah
Address
Stage of learning
aidah Full
ah Futi
uran Full
or
Qaidah Lesson Number
Ar￿￿￿￿ SuraFL
Quran Pora
or
or
earnt without Ta
weed I
Learnt WLth Ta
weed
Subjects Studied..

ectiort 7- GDPR- Cortsent for Personal Information Uso9e by Mosjid Unkn
I grant rTIy Collsent to Masjid Umar to store personal details ofj children attending Madra55aFL I consent
to the Storing his personal detaiL8 Jor the purpose 05 Iu"s Islomic education and aLi administrative activitie5 related to
the Madrassoh prOV￿10rL
I grant rTIy Collsent to M￿lId u￿aT to store personal detai15 for sending eTnoiLs, What5ApplSMS text
rftessages. I have provided my personal data for rhe purpose of receiving such communications.
l agree to Masjid Umar fjor having CCTV in children's classrooms, for security and saJety purposes.
ettiort 8 - DÈcLaratiort
e Madrassah wants all tFLe students to have love ffior our beautiful religion. We need your help 50 they can blosso
students, learn and practice our religion. Please Jor the benelit of your children, kindly motivate and encoura9e the
o pray Salah, learrL Arabic (Qur'aro, read their books and learn their dua's daily prayer5 at home a5 well. It is pivota
or t￿le￿ to pray at home daily.
hereby declare that I have read the admissions rules and l a9re£ to abide by tFL£m and all Madras5a rules and
egulotiOn5 thereafter. I further declare tFLat the infjormation giverL On tFLiS application for￿ is accurate and to the best
my knowled9e.
acknowledge tFLat a non-refundable administrative fee of £10 is required fjor tFLe processing of this application and
agree to submit thLS payment along with tFLe completed form.
Signature ol ParentlGLKwdian".
Date=
Applicants Name
Application Received (Date)..
Application StatUS'.
Admi55ion Granted I
Not Granted I
Waiting List I
Other I
Document5 Re£eivedlCopied..
Class Assigned..
Student IDIRoll Number..
Birth Certifjicate
Pa5SPOrt

Madrassah Policies
1. Opening Time> Madrasah's times will be 5..00pm to 7..￿prn Monday to Friday. Doors are open from
4.50ptn.
2. Dropping OSJ and picking up It will be the responsibility of parents to ensure that their children arrive,
and are picked up, on time. Regular late pickup of children will result in a late fee being charged. Parents
ust park their cars in a sensible manner, while at the Madrasah. Modrasah Stafflmanagefftent reserves the
right to ask parents to remove their vehicles iJ they are parked inconsiderably.
3. Unifjorm- Madrassah uniform must be worn at all times. Girls to wear a jabbah and scars and boys to
wear a jabbah and hat.
4. Valuables - Children must not to brin9 expensive items or large sums OJ money to Madrasah.
Any material not relevant to a child's edLLcation at Madrasah mLLSt never be brought to Madrasah
under any CircUn￿tanCes. Please note tklat any such iterns found in MadrasaFL will be confiscated.
Mobile phones should not be brougFLt to the Madrasoh,. in exceptional circUn￿tances parents must
inform admin that their child is carrying a phone. Students carrying a phone must hand it into tkle office
when tFLey coffte into Madrassah and collect when leaving Madrassah.
5. Behaviour and the Learnin9 Environment - All children must try their best to make the right choices at
all times. Parents will be inSormed, by phone in extreme cases, when their child makes the wrong choice.
Persistent wrong ckloices or serious incidences moy result in o child being excluded from the Madrasah.
6. Fees.. Madrasakl fees for Qur'an and Islamic Studies programme are= £420 Sor the year for 400
hours ofj learning (£1.05 per hour), payable as o one ofj SU￿ of £420 at the start OJ the year, as a
twtrport sum of £210 payoble on 1 st Septefftber and 1st February, or as o £42 fee every 1 st of the
month for 10 months starting ffirom 1 st ofj September. ASK FEES
All fees mLLSt be paid in ffiull via bank transfer or standing order on the dates specified.
Fees are non-refundable regardless of how many days a child takes olf.
If Jees are not paid in time, this will result in your child(ren) losing tFLeir place. All outstanding Jees
owing to the Madrasah must be paid regardless of your child(ren) no longer attending Madrasoh.
7. Booking Holidays- It will be our policy not to allow absences fjor holidays during Madrasth ter
time. Please book your holidays around the Madrasah's Academic Calendar to keep your
child's place at Madrasah secure.
8. Attendance - All children must have at le(￿t 80 % attendonce. Any child who does not ochieve th
attendance level will have their position at the Madrosah reviewed. Parents must attend the review
eeting. Failure to attend fftay result in the suspension of the child fjrofft MadrasaFL.
g. Homework - Parents will be expected to help their child with any homework given by the class
teacher. Parents will be jointly responsible with the child for completion of hofftework within the
required deadline. The Madrasah Student Diary containing homework should be signed ofj by the
porents once the homework is complete.
10. Access onto the Madrasah Premises - Unauthorised entrance to tkle Modrasah will not be
allowed. Porents who want to see a class teacher can do so via a request with the Madrasah
Administration andlor with a request with the child's teacher either beJore or after Madrasah hours
but never in learning time (5 - 7.30prn). Under no circumstances are parents allowed to enter tkLe

Madrasah in an attempt to talk with any teacher or in an attempt to resolve fftatters without tkle
permission ofj the Madrasah Management.
11 . Leaving Madrosah durin9 the Year through Withdrawal or Expulsion.. Parents must give 28 days,
notice when withdrawing their child ffirom Madrasah. In the case offi calculating the fees owed to
Madrasah in the event a withdrawal or expulsion occurs, they will be calculated Srom when the
Madrasah is notified OJ the child not attending MadrasaFL and not Jrom the time the child actually
stops coming to Madrasah. On withdrawal of the child, the parentslgLLardians will be required to Jill
in a 'Withdrawalfjrom Modrasah, form.