Enrol Online - Green Oak Academy

Type of Application

Please Choose which Service / Course you would like to enrol upon:*

Up to date information on all courses can be obtained by contacting the following: Green Oak Academy (Moseley): 0121 449 6690 | Green Oak Academy (Kings Heath): 0121 820 9185

Aalimah Course (Moseley)
Hifz Classes (Moseley)
Islamic Girls' Secondary School (Moseley)
Maktab Classes (Moseley)
Hifz Classes (Kings Heath)
Maktab Classes (Kings Heath)
Sisters Daytime Classes

Applicant Details

Name*

First Last

Date of Birth*

Gender*

Contact Details

For all applicants below 18 years of age, we will require the contact details of the Guardian or Parent please.

Address*

Street Address Address Line 2 City ZIP / Postal Code

Father's Mobile Number*

Father's Email*

Mother's Mobile Number*

Mother's Email*

Personal Mobile Number (If Applicable)

Personal Email (If Applicable)

Reasons for Application*

Please mention why you would like to enrol and where you have come across this service.

Any Other Information

Please include medical information and preferred shift choices for Maktab classes.

Declaration

Sign Name*

Signature*

Consent*

This form collects personal information in accordance with our privacy policy.