🕌 ICMG Australia - Established 1995

Meadow Heights Summer School

Islamic Education Enrollment

Enrollment Form

First Name *

Last Name *

Date of Birth *

School Grade *

Health Conditions or Allergies

Medications

School Attending During Week

Please provide at least one parent or guardian contact (either mother/guardian or father/other parent)

Mother's/Guardian's Name

Father's/Other Parent's Name

Mother's/Guardian's Phone

Father's/Other Parent's Phone

Home Address *

Email Address *

Name *

Relationship *

Phone Number *

Name *

Relationship *

Phone Number *

I give permission for my child's photos to be taken and published in relevant promotional material and social media outlets

Yes No

We'll contact you to confirm your enrollment.