Enrolment Form Kids Step 1 of 4 25% Student Details* First Last Age*Parent Details* First Last Phone*Email* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Child 2 (optional)Age of Child 2Child 3 (optional)Age of Child 3Choose Course* Monday & Wednesday 5-7pm Tuesday & Thursday 5-7pm Saturday Youth Quran Classes Youth Program 17/02/20 Start date Emergency Contact details Please nominate a person who may be contacted in the event of an emergency, where parents cannot be contacted. Ideally, the contact person should be someone who lives in close proximity to the centre.Emergency Contact* First Last Relationship to Child*Phone*Custody Restrictions:Health Issues/Allergies, etc .I/We also undertake to assist my/child in upholding the ideals of Unity Quran College P/L and agree to co-operate and support the centre and the discipline of it's students. .I/We have read the conditions of Enrolment and Admission and thereby I agree to bound of those or any regulations of the centre which may from time to time implemented. .I have read the unity Quran college P/L Terms & Conditions and agree to abide by them all. .I declare that all the information provided in this application for enrolments is to the best of my knowledge and belief to be accurate.I agree,* Agree 1. Fees are still payable, for a student that does not attend their class. 2. If a student Is absent due to illness then fees are only exempt If a doctor's certificate Is provided. 3. A 10% deposit Is taken when a student takes holiday leave to secure his/her spot In the class. 4. Parents are responsible for drop off and pick up of their own children and need to notify the centre if you are running late. 5. When dropping off and picking up your children,please park responsibly avoiding parking on the kerb, double parking and parking our neighbours' spots. UQC driveway is strictly used for drop offs ONLY. 6. UQC Is not responsible for any child outside class hours. 7. No electronic devices such as phones, cameras, tablets, iPad and iPod are allowed in the centre. 8. Payment of fees need to be made weekly or fortnightly. 9. All students must abide to the Islamic code of dressing, conduct, including haircuts as well. 10. Any damages to property made by students belonging to UQC will be made responsible for and the full cost will be recovered. 11. UQC has the right to expel or suspend a student that does not abide by the policies bound in the centre. 12. All parents are to give two weeks' notice in writing when deciding to leave the centre. Please see administration to bring your account up to date. I agree,* Agree Untitled
