Form – Dar Alarqam Arabic Multicultural Association (DAAMA) Inc.

Enrolment Application

First Name:

Family Name:

Email:

Mobile Number:

Current Address:

Suburb:

Post Code:

First Name:

Last Name:

First Name (Arabic):

Last Name (Arabic):

Date of Birth:

Gender:

School Name:

School Year:

Library:

I would like to enrol my child in DAAMA Library *Extra Fees may apply

Medical Conditions:

If Selected YES List Medical Conditions Below:

Terms

By clicking on this, you have agreed to accept our Terms & Conditions.

Photographic permission

I give permission to DAAMA to use my students photographs and videos on its website and/or any other advertisement media.