Student ID *
This field is required
Child’s Full Name *
Parent/Carer Name *
Mobile Number *
Email Address *
Home Address *
Arab country of origin *
One other Emergency contact name & phone number *
Details of any Known allergies *
Collector's Full Name *
Contact Number *
Password *
Is there any health declaration updates? *
Yes No This field is required
If yes, please specify
In any case of emergency do we have permission to seek medical advice for your child? *
We hereby give permission for Yasmeen Arabic Language Centre to take photos of our child to use within the school for displays, artwork etc… *
Any other Information you wish to add about your child
Kindly Choose your Class Preference *
-- Select Preference -- Explorers ( For 3 Yr ) Incredibles (For 4 Yr) Beginners (For 5 Yr) This field is required
-- Select Preference -- Foundation 1 (6-7 Yr) Foundation 2 (7-8 Yr) Year 1 (A) (8-9 Yr) Year 1 (B) (9-10 Yr) Year 2 Year 3 GCSE Preparation This field is required
Kindly Choose your Club Preference * (For ages 6-12 years old)
Kindly Choose Payment *
-- Select Payment Option -- Per term Full year This field is required
One year subscription on Kutubee App *