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

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

Mother's Mobile Number*

Email*

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.