Madrasat Tahfithul Quran (MTQ) – 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 MTQ Enrolment Application

Student Details

First Name:

Family Name:

D.O.B.

Gender
MaleFemale

Languages spoken at home:

Medicare No:

Ref No:

Mother/Carer 1

First Name:

Family Name:

Mobile:

Home Phone:

Email:

Address:

Suburb:

Post Code:

Father/Carer 2

First Name:

Family Name:

Mobile:

Home Phone:

Email:

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)

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 (Autism, Dyslexia, ADHD) 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.

Please provide a copy of your child’s full assessment report.

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. I am aware Al Bayan does not provide special needs support staff.

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 givedeny permission for my son/daughterto have their picture taken either for display or for the purpose of advertisement for Al-Bayan Institute through our Classroom Dojo App (Viewed by fellow peers, staff, and parents not accessable by the public).

Parent/Carer Signature

Date

Fees

Application Fee: A non-refundable fee of $60 payable upon submitting the application form.

Term Fee Schedule (10 weeks):
Secular & Quran: $1400 per term
Quran Only: $700 per term
Tutoring Only: $800 per term
Annual Resource fee: $150 paid in term 1

Fees are based on each term and parents are responsible to pay full term.

Discounts

A discount is available for parents enrolling multiple children in both Quran and Home-Schooling program. See administration staff for more details.

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

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