Al-Bayan Preschool Program – Albayan Institute

What’s most important for you and your future?

Teaching Children Islamic Knowledge

All of our children’s courses are tailored specifically for children of all ages to learn about Islam, The Holy Quran (with English translations), the stories of the Prophets and more.

Al-Bayan Pre-Kindergarten Enrolment Application

Student Details

First Name:

Family Name:

D.O.B.

Gender
MaleFemale

Languages spoken at home:

Medicare No:

Ref No:

Starting School Year:

Preferred School:

Which Al-Bayan Pre-Kindy class would you like to join:

Father/Carer 1

First Name:

Family Name:

Mobile:

Home Phone:

Email Address:

Address:

Suburb:

Post Code:

Mother/Carer 2

First Name:

Family Name:

Mobile:

Home Phone:

Email Address:

Address:

Suburb:

Post Code:

Medical Conditions

Does your child have any diagnosed medical conditions, illnesses or allergies that may/may not affect their learning at Al-Bayan Institute and possibly need medical attention or first aid?
YesNo

If yes, please list and explain (where necessary)

Have I provided necessary Action Plan?
GreenRed

Please provide an action plan to the office for any medical condition. It is the responsibility of the parent/carer to provide and educate staff of relevant care plans or medications needed for the child

Special Needs

Does your child have any special needs or any learning difficulties that may affect their learning at Al-Bayan Institute.
YesNo

If yes, please list and explain (where necessary) are they being seen by Speech Pathologist, Occupational Therapist, Psychologist etc.

I understand that Albayan has the right to withdraw my child's application if staff are unable to meet my child's individual need. One week trial is offered and a position will be given after the trial.

Parent sign:

Emergency Contacts and Authority to collect child (Do not include parents/carer)

Please ensure your child’s emergency contact person is willing to collect your child.

Emergency Contact Person 1

First Name:

Family Name:

Phone:

Relationship to Child:

Emergency Contact Person 2

First Name:

Family Name:

Phone:

Relationship to Child:

I authorise staff of Al-Bayan Institute to give the above person access to my child. The above-mentioned persons are also authorised to collect my child from the centre in my absence.

I confirm that the information on this form is correct.

Parent/Carer Signature

Date

COURT ORDERS RELATING TO THE CHILD

Are there any court orders relating to the powers, duties, responsibilities or authorities of any person in relation to the child or access to the child?

NoYes

1. Bring the ORIGINAL court order/s for staff to see and copy and attach to this enrolment form;
2. If these orders:

a) Change the powers of a parent/guardian to:

Authorise the taking of the child outside of Albayan Institute
Consent to the medical treatment of the child;
Request or permit the administration of medication to the child;
Collect the child from Albayan Institute AND/OR

b) Give these powers to someone else,

Please describe these changes and provide the contact details of any person given these powers:

Photo Consent

I allowdo not allow permission for my child to have their picture taken either for display on DOJO for Al-Bayan Institute through our social media pages.

Parent/Carer Signature

Date

Attached Documents (optional).

I have read, understood, agree to and accept the above terms and conditions. I acknowledge that the above terms and conditions are a binding agreement between Al-Bayan Institute and myself.

Signature

Date

Elected Days for Pre-kindy

Please select by placing a tick on the option you want your child to attend Al-Bayan Institute.

LITTLE BEGINNERS: 3-4 Age Group

Caterpillar Class	3 Day Option	Mon, Wednesday & Friday
Butterfly Class	4 Day Option	Monday, Tuesday, Thursday & Friday

SCHOOL READINESS: 4-5 Age Group

Daisies Class	3 Day Option	Monday, Wednesday & Friday
Tulips Class	4 Day Option	Monday to Thursday
Lilies Class	4 Day Option	Tuesday to Friday
Roses Class	5 Day Option	Monday to Friday

PAYMENT OPTIONS –

Option 1	Pay full term fee upfront and receive 5% discount
Option 2	Pay half term fee upfront and second half direct debited from account in Week 5
Option 3	Pay half term fee upfront and the rest in 2 equal instalments direct debited from account.

PLEASE NOTE: SPORTS PROGRAM IS ADDITIONAL TO FEES

Tuition fees are based on enrolment not actual attendance. We apologise to all parents, there are no credits for illness or absence.