Hifz Class - Application Form

Hifz Class for Home Schooled Students
Prerequisites:
- Age 9+
- Must be able to recite the Quran fluently.
- All prospective students must pass an entry test before a place can be offered.
Hifdh Class for Home-Schooled Students:
- Starting 10th November 2025
  Day / Time: Monday to Thursday, 9:30 am – 11:30 am
- Please note that this class is currently for boys only.
- If you are interested in enrolling your daughter, please contact us at info@wycombemosque.com for further details and to express your interest.
Student Full Name*

Only one preferred First NameOnly one preferred Last Name
Age*
Date of Birth*

DayMonthYear
Medical Conditions*
Food Allergies*
Any Special Educations Needs (SEN)*

YesNo
Please provide further information regarding SEN*
Parent/Carer Full Name*

First NameLast Name
Mobile Number*
Email*

Confirmation Emailexample@example.com
Payment*
Categories:All

All

Hifz Class (Home Schoolers)
prevnext( X )
Hifz Class - Initial paymentCovers the first month
£50.00
Should be Empty: