Please fill in the form below to go on to our waiting list in the London Muslim Centre
Sessions Days & Times (FEES can be obtained by contacting us)*
Preschool AM Session: Mon - Fri (8.30am - 12-30pm) *Apply if child is 2 years and overPreschool PM Session: Mon - Fri (12.30pm - 4-15pm) *Apply if child is 2 years and overEvening Club: Mon - Tue (5pm - 7pm) *Apply if child is 4 years and overEvening Club: Weds - Fri (5pm - 7pm) *Apply if child is 4 years and overWeekend Madrasah Club: Saturdays (10am - 2.30pm) *Apply if child is 3 years and overWeekend Madrasah Club: Sundays (10am - 2.30pm) *Apply if child is 3 years and over
Child's Name*
Parent's Name(s)*
Gender* MaleFemale
Child Date of Birth*
Telephone Number*
Mobile Phone Number*
Email*
Ethnicity
Languages Spoken/Understood by Child*
Address*
Does your child attend any other sessions/playgroups? if so, Where?
What does your child do at home and how do you help their development?
Are you related to anybody who is employed in the LMC/Rainbow? if so, who?
Does your child have any siblings who attended Rainbow? If so, Who?
Does your child have any health conditions that we need to know about?
How did you hear about us?
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.
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