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COMMUNITY MOSQUE

Madrasah Registration Form

Child's Name

Child's Date of Birth

Any Allergies

Any Learning Disabilities

Quran Reading Level

Parent's Name

Mobile Phone Number of Parent

Email address of Parent

Person Collecting the Child - Once Madrasah Re-Opens

Mobile Number of Person Collecting

Thank you for Registering, we will be in touch.

ABOUT US

An invitation to everyone of all faiths and no faiths. Meet friends and neighbours. Regular activities and events for the community.

EMAIL

ADDRESS

63 Whytecliffe Road South, Purley CR8 2AZ

TELEPHONE

07982 446062

Madrasah enquiries only (WhatsApp Message only) 07939 422947

Purley Masjid Terms & Conditions Policy

© 2019 by Purley Masjid