LONDON MUSLIM CENTRE

List Form

  1. LONDON MUSLIM CENTRE

    Please fill in the form below to go on to our waiting list in the London Muslim Centre.

  2. Sessions Days & Times FEES can be obtained by contacting us







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  4. Child's Name*
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  5. Parent's Name(s)*
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  6. Gender*
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  7. Child Date of Birth*
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  8. Telephone Number
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  9. Mobile Phone Number
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  10. Email*
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  11. Ethnicity
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  12. Address*
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  13. Languages Spoken/Understood by Child
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  14. Does your child attend any other sessions/playgroups? if so, Where?
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  15. What does your child do at home and how do you help their development?
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  16. Are you related to anybody who is employed in the LMC/Rainbow? if so, who?
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  17. Does your child have any siblings who attended Rainbow? If so, Who?
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  18. Does your child have any health conditions that we need to know about?
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  19. How did you hear about us?
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  20. I declare that any information that I have given is correct and I will inform you of any changes. I am interested in sending the named child to Rainbow House. When I am invited to attend the open day or when a place is offered I will respond as requested.

  21. Tick box if you agree
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  22. Security Captcha*
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