Enrolment Form – Wipe The Tears

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Arabic School Enrolment Form

السلام عليكم ورحمة الله وبركاته
Thank you for choosing Glasgow School of Arabic. We are looking forward to welcoming you and your child soon. Please do not hesitate to contact us if you need any support filling out this form or to discuss any other issues.

1About your child

2Parents' details

3In case of emergency

4Additional information

5Terms and Conditions

About your child

Name *

First

Last

Gender *

Male
Female

Date of Birth *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

School Name

Does your child have any medical conditions? *

Yes
No

Please specify

Is your child on any medication? *

Yes
No

Please specify

Does your child have any allergies *

Yes
No

Please specify

Parents' details

Mother's name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Father's name *

First

Last

Phone *

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you have any other children?

Selected Value: 0

Child 1 *

First

Last

Child 2 *

First

Last

Child 3 *

First

Last

Child 4 *

First

Last

Child 5 *

First

Last

Child 6 *

First

Last

Child 7 *

First

Last

Child 8 *

First

Last

Child 9 *

First

Last

Child 10 *

First

Last

In case of emergency

Emergency contact 1 *

Mobile number *

Work contact number

please provide a contact number if you will be working during your child's class times.

Emergency Contact 2 *

Mobile number *

Additional information

How much does your child know about the Arabic language *

e.g. knows some letters, can read fluently etc.

Has your child memorised any Surahs *

Yes
No

Please tell us which surahs your child has memorised

Is your child allowed in photographs *

Yes
No

Please note, photographs may be taken for the sole purpose of the charity and the school’s activities. The photographs are shared on the "Arabic School Parents" group and may appear on social media as well as our website.

Does your child know any prophet stories? *

Yes
No

Please tell us which

Please tell us about your child's hobbies

e.g. playing football, drawing, reading etc.

Comments

I hereby give my approval for my child’s participation in any and all activities prepared by Wipe the Tears during their time at Glasgow School Of Arabic. In exchange for the acceptance of said child’s candidacy by Wipe the Tears, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Wipe the Tears and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of travelling to, participating in, or returning from selected sessions. In case of injury to said child, I hereby waive all claims against Wipe the Tears including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including football. *

I agree to the above terms and conditions for the Glasgow School of Arabic

Contact us

Name *

First

Last

Email Address *

Message *

Custom Captcha *

What is 7+4?

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info@wipethetears.org.uk

Address

115 McCulloch Street

Flat 1/2
Glasgow

G41 1NT

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