LD_Appl_Form

LIVEDARSAH QURAN CLASS APPLICATION FORM
Age eligibilty for LiveDarsah Quran Class is from 6

Child1:*

Age:*

Select a room*

Public Room (£15) Private Room (£20)

Gender*

Level*

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Parent's Name:*

E-mail:*

Home Tel:*

Mobile*

City:*

Country:*

Madrasah attended*

type the letters as shown*

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For Those who wish to Use Paypal only

Public Room
1 Child pcm( £15.00 GBP for the first month then, £15.00 GBP for each month .)
2 Children pcm( £30.00 GBP for the first month then, £30.00 GBP for each month .)
3 Children pcm( £45.00 GBP for the first month then, £45.00 GBP for each month .)
4 Children pcm( £60.00 GBP for the first month then, £60.00 GBP for each month .)

Total: £0.00 GBP

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By submitting this form you agree to the following terms and conditions that:-

1- Your child to be tought Quran reading according to our method of teaching.

2-Your child will always be on time and will not leave before the class finished
unless for a particular reason.

3-Your child will respect the rules of the room.

4-You will respect the decision made by the teachers.

5-you will follow all the instruction given by the teachers.

6-you agree to be responsible for your sound and technical problems during the
class.

7- You set up a standing order with your respective bank.

8-If using PayPal, you agree to setup monthly recurring payment.

9-In case of payment default, your child will be excluded for that period until
the issue is resolved.

10-If you decided to withdraw your child, You agree to inform at one month in
advance.

11-We have the right to terminate this contract at anytime.

Do You Agree?*

Yes

Download Standing Order Form Here

Please make sure you receive email containg your payment reference before you setup a standing order with your bank and for paypal users please use paypal monthly recurrence option available in your paypal a/c.