In the name of Allah the most gracious the most merciful.

All details provided will be treated with the strictest confidentiality

BUTTERCUP PRIMARY
APPLICATION FORM
CHILD DETAILS
APPLICANTS S !NA"# DATE OF BIRTH PLACE OF BIRTH $%!#NA"#S GENDER Position of Child in Family NATIONALIT MALE FEMALE

E!istin" Si#lin"s att$ndin" this S%hool

Moth$& Ton"'$ of Child

PARENTS(G)ARDIANS DETAILS
PARENTS NAME ADDRESS POSTCODE HOME TEL* OCC)PATION OCC)PATION

EMAIL ADDRESS*+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

EMERGENC CONTACT , Th$ d$tails "i-$n h$&$ sho'ld #$ of a &$lati-$ o& f&i$nd .ho
%an %onta%t th$ /a&$nts if n$$d$d NAME R$lation to family

ADDRESS POSTCODE HOME TEL* OCC)PATION

DETAILS OF PRE0IO)S ED)CATION

HOME 1MADRASSA2 SCHOOLING DETAILS

&AT#S ATT#N&#& $!%" NAME OF CLASS

T%

PRESENT SCHOOL DETAILS

DATES ATTENDED FROM NAME OF CLASS

TO

MEDICAL HISTOR , Pl$as$ /&o-id$ f'll d$tails &$"a&din" yo'& %hild

NAME AND ADDRESS OF GP T#L N%. Any M$di%al Conditions Child has in Past o& P&$s$nt

Do$s th$ Child ha-$ any M$di%al P&o#l$ms3 1Pl$as$ Ti%42

Physi%al $s No s/$%ify

All$&"i$s $s No s/$%ify

S/$$%h $s No s/$%ify

Any Oth$& $s No s/$%ify

DECLARATION '. I confirm that I have read( understood and answered all the )uestions on this form fully and to the best of my *nowledge. +. I confirm that the information given on this form is true and accurate. I accept and agree to abide by the conditions stated in the rules and regulations of ,uttercup Primary School. Nam$ of Pa&$nts(G'a&dian Si"nat'&$ of Pa&$nts(G'a&dian
DATE DATE

$or %ffice se %nly Admission Accepted &ocumentation Signed. Admission NoName of Staff &ate of Admission Signed

BUTTERCUP PRIMARY Hom$5S%hool A"&$$m$nt

Nam$ of P'/il* Admitt$d to $a&*
,uttercup Primary is an educational establishment aimed at providing high )uality academic education in combination with classical Islamic culturing. The foundation was established in August +/'' The relationship between the foundation and the families of children enrolled is the basis of our success. The school see*s to maintain its ethos in partnership with families. This agreement is carried out in good faith and in the conte0t of our obligations to each other as "uslims.

Th$ Pa&$nts
I(.$ .ill* See* to actively build the personality of my1our child in accordance with Islam. #nsure an Islamic atmosphere at home and reinforce the correct Islamic values and concepts at all times. #nsure my1our child does not wear any 2ewelry toys( maga3ines( boo*s or 4fun4 stationary in to school. Lunchbo0es must not have cartoon characters on them. #nsure that my1our child attends school regularly( arriving and departing on time. Notify the school immediately and in writing if my1our child is absent or more than '5 minutes late for any reason. Advance notification of leave for medical appointments must be made in writing to the class teacher. !ecognise that attendance and punctuality are e0tremely important in terms of discipline. !ecognise that persistent absences are disruptive( and absences for reasons other than illness or emergency are not acceptable. Any child absent for more than a wee* without reason may be ta*en off the register. #nsure that my1our child is properly e)uipped( and in appropriate school uniform( in accordance with the school4s policy. In winter terms children must bring in coats hats and gloves Send an appropriate pac*ed lunch every day. Lunch should not include 46un* food4 i.e. fi33y drin*s( sweets( chocolates( crisps7 8ealthy alternatives such as fruit and yogurt are encouraged. $acilities to heat up food are available. Support my1our child so that he1she can complete home learning activities provided by the school on time.

Support the school in reading with my1our child every day. Support the school in e0tra9curricular activities including school trips. Ta*e an interest in my1our child4s education and the general life of the school by communicating with teachers #nsure fees are paid on time and in accordance with school policy. :ive one full calendar month notice if my1our child has to be withdrawn for any reason. $ees are payable in full during this period. Inform the school immediately if there is any change in address( telephone number or other information re)uired by the school including medical information. Support all the school4s policies and guidelines. se the complaints procedure if I1we have any complaints( )ueries or concerns. l1we will not contact the class teacher or any other parents or persons outside of school. Please see our complaints procedure attached.

B'tt$&%'/ P&ima&y
6$ .ill* Provide an Islamic environment where our children4s personalities can be built on Islam( whereby Islam is present between the teacher and children and between the children. #nsure that anything that contradicts Islam is not taught. Provide )uality education for your child based on accelerated learning where each child can fulfill their full potential and where we aim to ma*e learning a positive and fun e0perience. See* actively and positively to cater for any special needs your child may have. Parents must however recognise that they will incur any additional costs if e0tra facilities are necessary. Contact you if there is a problem with attendance( punctuality or e)uipment. Inform you about any concerns or problems that affect your child4s wor* or behavior. Provide information to you on the progress made by your child and arrange parent9teacher meetings every term. Provide home learning activities for your child to complete with your support. The ob2ective of home9 wor* is to reinforce what the children are currently learning in school. Therefore there will be no new topics and children should mainly be able to do the wor* independently. Communicate regularly about school activities through newsletters and notices about special events and re)uests.

To"$th$&
Treat each other with fairness( respect and dignity in line with Shariah and the values of Islam. Communicate effectively on any issues affecting wor*( behavior and welfare ;or* to provide a safe( secure( caring and supportive environment

Signed on behalf of Buttercup Primary

&ate-

Parent's Signature

&ate-

APPLICATION FORM , S'//l$m$nt

ISLA"IC P!ACTIC# IN T8# 8%"#
&o <ou have television in your home. If so7 .hi%h /&o"&amm$s do yo' allo. yo'& %hild&$n to .at%h3 Ho. lon" fo& <#S = No =

! L#S AN& !#: LATI%NS

'. +. >. ?. 5. B. C. D. All students and their parents must abide by the rules and regulations of the School. Applicants academic and character reports will be chec*ed at the time of Admission. !egistration $ees is '5/.// This must be paid upon registration by Cash or Che)ueAnnual $ees. This is paid in full or half upon admission@ parents unable to pay by the above methods can pay upon re)uest using the following methods by ,an* Standing %rder or cash. a. Auarterly b. "onthly All complaints after verbal discussion( should be made in writing to the Administrator of the School in order to resolve and log them in the complaints register. All children should attend school in full school uniform. Parents must ensure that School uniform is *ept clean and tidy. Children who attend without full uniform may be sent home. A letter must accompany any non9attendance at school from the parents. $re)uent absenteeism may result in your child being removed from the School. A'I the above rules and regulations must be adhered to. The School reserves the right to alter or amend any regulation when it deems necessary.

DECLARATION
>. ?. 5. I confirm that I have read( understood and answered all the )uestions on this form fully and to the best of my *nowledge. I confirm that the information given on this form is accurate. I accept and agree to abide by the conditions stated in the rules and regulations of ,uttercup Primary School. DATE DATE

Nam$ of Pa&$nts(G'a&dian Si"nat'&$ of Pa&$nts(G'a&dian