Safar Academy Applications

Child's First Name *

First name (and any middle names)

Child's Surname *

Last Name

Gender *

Male

Female

Date of Birth *

Preferred Branch *

Are there any other Safar Branches you want to be considered for

Does your child have any Health Conditions or educational needs? *

Yes

No

Provide Details of health conditions or learning difficulties

Do you provide permission for Safar Academy to take Photos & Videos of your child for promotional purposes ?

Yes

No

Photos will be used for purposes such as on the Safar website, promotional videos etc. Photos will never be shared with 3rd parties

Do you have any children currently studying at Safar Academy? *

Yes

No

Name of Child Currently Studying at Safar Academy

Family Reference number

Family Reference Number for current Child at Safar e.g SP073

Father's Name *

Mother's Name *

Landline/Home Number

Primary Mobile Number *

This is the Mobile number we will send messages to when your child is at the Academy

Secondary/Additional Mobile Number

Primary Email Address *

Secondary/additional Email Address

Address *

Address

Town

City

Postal Code

These details should be different to the fathers/mothers. These will only be used in the case of an emergency when the parents cannot be reached.

Full Name *

Phone Number *

Relationship (e.g Aunt, Grandmother, Family Friend) *

Any Other Comments/Notes regarding application