Student Details

Legal forename(Required)

Legal surname(Required)

Middle name

Preferred name

Date of birth(Required)

Nationality(Required)

Ethnicity(Required)

Religion(Required)

Gender(Required)

Year group applied for(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Does your child have siblings attending RIAG?

Yes

No

Sibling names and year groups

Name of current school(Required)

School address(Required)

School telephone number

Dates attended (from)(Required)

Dates attended (to)(Required)

Reason for leaving (in-year transfers only)

Doctor's name(Required)

Surgery name and address(Required)

Surgery telephone number(Required)

Medical conditions, allergies or intolerances(Required)

Yes

No

Please provide full details

Does your child use an inhaler?

Yes

No

If your child uses an inhaler, do they carry it in school?(Required)

Yes

No

N/A

Details of SEND / additional needs / access arrangements

Please give details of any specific learning difficulties, learning needs or disabilities. Please disclose any diagnosed SEND needs requiring additional support or access arrangements at the point of application so that appropriate provision can be considered for the entrance exam / assessment day (as applicable).

Are any other services or professionals involved with your child?(Required)

Yes

No

Service/professional and relevant details

Please tell us about any other services involved with your child (for example: Healthcare, Social Services, Educational Psychologist, Speech Therapist, Child & Family Worker etc.).

At Rochdale Islamic Academy Girls, our approach is rooted in the Qur’an and Sunnah. We strive to nurture our students with love, compassion and guidance while maintaining high expectations of behaviour, attendance and academic commitment. We ask parents and carers to work in partnership with us to uphold these values insha’Allah. By signing the application form, parents/carers acknowledge and agree to the following terms and conditions.

Parents/guardians agree to support the school’s Islamic ethos and abide by its policies, procedures and expectations. We encourage a strong partnership between home and school with a shared commitment to each student’s education and Tarbiyyah.

Regular attendance and punctuality are essential to academic success. Holidays and extended leave during term time, including travel for religious purposes are not authorised. Any exceptional request for leave must be submitted in advance using the school’s Request for Leave Form and approved.Persistent unauthorised absence or extended unauthorised leave may result in a formal review of the student’s continued enrolment and where appropriate, termination of the admission agreement. Unauthorised absence may also result in school fines and matter referred to the Local Authority where appropriate.

At RIAG, we nurture our students with love and guidance, encouraging them to demonstrate Islamic values through their character, conduct and respect for others. However, serious misconduct, including vandalism or deliberate damage to school property will be addressed through the school’s behaviour and disciplinary procedures. Depending on the seriousness of the incident, this may include suspension or permanent exclusion. Parents/carers will be required to cover the cost of repairing or replacing school property damaged by their daughter.Persistent unauthorised absence or extended unauthorised leave may result in a formal review of the student’s continued enrolment and where appropriate, termination of the admission agreement. Unauthorised absence may also result in school fines and matter referred to the Local Authority where appropriate.

Annual tuition fees are £4,560, payable in 10 monthly instalments of £456 from September to June. Payments must be received by the 1st of each month. Standing order or bank transfer is the usual method of payment; however, we are happy to accommodate parents who wish to pay in cash at the school office.Where fees are unpaid, the school will contact parents/carers to resolve the outstanding balance. Students will not be permitted to attend school until all fees are paid. Persistent failure to pay may result in termination of the admission agreement.Fees remain payable during periods of absence. In keeping with the Islamic principles of fairness, we will not increase tuition fees during the academic year. However, fees may be reviewed annually to reflect increases in operational expenses. Parents/carers will be informed of any changes in advance of the new academic year insha’Allah.

We value our partnership with parents and guardians and expect all communication to reflect the Islamic values of respect and kindness. Abusive, threatening, intimidating or disrespectful behaviour towards staff, students or other members of the school community will not be tolerated, whether in person, by telephone, in writing or online. Serious or repeated incidents may result in restrictions on communication or access to the school. In exceptional circumstances, the school may consider terminating the admission agreement following a fair review, with due consideration for the student’s welfare and education.

Terms & Conditions Acknowledgement

I confirm that I have read and understood the school's Terms and Conditions of Admission

The purpose of this form is to collect data for further processing within the school system. Your signature on this form implies your consent for the school to process the data. The data will be processed in accordance with the Data Protection Act 2018 and the UK GDPR regulations. The information given will be entered into our Management Information Systems and will form part of the school’s database. This information will also be shared with the Local Authority, Ofsted and other relevant agencies as necessary. Please see the school’s privacy notice for further details.

Declaration of Person with Legal Responsibility

Parent/Carer full name(Required)

Declaration agreeing to the terms(Required)

Confirm

Consent to use pupil photographs/videos

Yes

No

Signature(Required)

Date

Application Form

RIAG Admission Application 2027–28

Student Details

Additional Emergency Contacts

Emergency Contact 2

Declaration of Person with Legal Responsibility