1<!doctype html> 2<html lang="en"> 3<head> 4<meta charset="utf-8"> 5<meta name="viewport" content="width=device-width, initial-scale=1"> 6<title>Register your child â Madrasah Noor</title> 7<link rel="icon" type="image/png" href="https://lancasterisoc.org/madrasahnoor/noor-logo.png"> 8<style> 9 :root{--ink:#0b1320;--muted:#5b6b82;--card:#fff;--bg:#f6f7fb;--line:rgba(15,23,42,.12);--radius:18px;--gold:#c8a557;--green:#136b56} 10 *{box-sizing:border-box} 11 body{font-family:system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;background:var(--bg);color:var(--ink);margin:0} 12 .titlebar{background:#fff;border-bottom:1px solid var(--line)} 13 .titlebar-inner{max-width:820px;margin:0 auto;padding:14px 16px;display:flex;align-items:center;gap:12px} 14 .titlebar img{width:48px;height:48px;object-fit:contain;border-radius:12px;box-shadow:0 8px 18px rgba(0,0,0,.12)} 15 .titlebar strong{display:block;font-size:18px;font-weight:900} 16 .titlebar span{display:block;font-size:12px;color:var(--muted);font-weight:700} 17 .wrap{max-width:820px;margin:0 auto;padding:18px} 18 .card{background:var(--card);border:1px solid var(--line);border-radius:var(--radius);overflow:hidden;margin-bottom:16px} 19 .card header{padding:16px 18px;border-bottom:1px solid var(--line);font-weight:900;display:flex;justify-content:space-between;align-items:center;gap:10px} 20 .card main{padding:18px} 21 .lead{color:var(--muted);margin:0 0 4px} 22 .sec-title{font-weight:900;font-size:14px;margin:18px 0 8px;color:#1f2a37;display:flex;align-items:center;gap:8px} 23 .sec-title:first-child{margin-top:0} 24 label.f{display:block;font-size:13px;font-weight:700;color:#334155;margin:12px 0 5px} 25 label.f .opt{color:var(--muted);font-weight:600} 26 input,select,textarea{width:100%;padding:11px 12px;border:1px solid var(--line);border-radius:12px;background:#fbfaf6;font:inherit;color:var(--ink)} 27 input:focus,select:focus,textarea:focus{outline:2px solid var(--green);border-color:transparent} 28 .grid2{display:grid;grid-template-columns:1fr 1fr;gap:0 14px} 29 @media(max-width:560px){.grid2{grid-template-columns:1fr}} 30 .hp{position:absolute;left:-9999px;opacity:0;height:0;overflow:hidden} 31 .cta{display:inline-flex;align-items:center;justify-content:center;gap:10px;padding:13px 18px;border-radius:999px;border:none;cursor:pointer; 32 background:linear-gradient(180deg,#1a7f67,#136b56);color:#fff;font-weight:900;font-size:15px;box-shadow:0 12px 22px rgba(26,127,103,.18)} 33 .cta:active{transform:translateY(1px)} 34 .err{background:#fdecea;border:1px solid #f5c2bd;color:#a3372f;border-radius:12px;padding:12px 14px;margin-bottom:14px;font-weight:700} 35 .note{font-size:12.5px;color:var(--muted);margin-top:6px} 36 .fees{background:linear-gradient(90deg,rgba(200,165,87,.12),rgba(200,165,87,.03));border:1px solid rgba(200,165,87,.3);border-radius:14px;padding:14px 16px;font-size:14px} 37 .fees strong{color:#7a5f1a} 38 a.back{display:inline-flex;gap:6px;align-items:center;text-decoration:none;color:var(--muted);font-weight:800;font-size:13px} 39 .req{color:#c0392b} 40</style> 41</head> 42<body> 43 44<div class="titlebar"> 45 <div class="titlebar-inner"> 46 <img src="https://lancasterisoc.org/madrasahnoor/noor-logo.png" alt="Madrasah Noor"> 47 <div> 48 <strong>Register your child</strong> 49 <span>Madrasah Noor · Lancaster Islamic Community Hub</span> 50 </div> 51 </div> 52</div> 53 54<div class="wrap"> 55 <p style="margin:6px 0 14px"><a class="back" href="https://lancasterisoc.org/madrasahnoor/">â Back to Madrasah Noor</a></p> 56 57 58 <div class="card"> 59 <header><span>Admission request</span><span style="font-size:12px;color:var(--muted);font-weight:700">Takes ~3 minutes</span></header> 60 <main> 61 <p class="lead"> 62 Please tell us about your child. Once we receive your request, the Headteacher will review it and 63 contact you to confirm a place and class, in shÄâ AllÄh. Fields marked <span class="req">*</span> are required. 64 </p> 65 66 <form method="post" action="submit.php" autocomplete="on"> 67 <input type="hidden" name="csrf" value="895b83751950389a5d85b9aaf5ef9f8
676"> 68 <input type="hidden" name="started_at" value="1790979634"> 69 <!-- honeypot --> 70 <div class="hp" aria-hidden="true"> 71 <label>Leave this blank</label> 72 <input type="text" name="website_498032" tabindex="-1" autocomplete="off"> 73 </div> 74 75 <div class="sec-title">ð¦ About the child</div> 76 <label class="f">Child's full name <span class="req">*</span></label> 77 <input type="text" name="child" required value="" placeholder="First and last name"> 78 <div class="grid2"> 79 <div> 80 <label class="f">Date of birth <span class="req">*</span></label> 81 <input type="date" name="dob" required value=""> 82 </div> 83 <div> 84 <label class="f">Gender <span class="req">*</span></label> 85 <select name="gender" required> 86 <option value="">â choose â</option> 87 <option value="m" >Boy</option> 88 <option value="f" >Girl</option> 89 </select> 90 </div> 91 </div> 92 <div class="grid2"> 93 <div> 94 <label class="f">Home address <span class="req">*</span></label> 95 <input type="text" name="address" required value="" placeholder="House & street"> 96 </div> 97 <div> 98 <label class="f">Postcode <span class="req">*</span></label> 99 <input type="text" name="postcode" required value="" placeholder="LA1 1AA"> 100 </div> 101 </div> 102 <label class="f">May the child walk home alone at the end of the session?</label> 103 <select name="walk"> 104 <option value="no" >No â will be collected</option> 105 <option value="yes" >Yes â may walk home alone</option> 106 </select> 107 108 <div class="sec-title">ðª Parent / guardian 1</div> 109 <label class="f">Name <span class="req">*</span></label> 110 <input type="text" name="p1_name" required value=""> 111 <div class="grid2"> 112 <div> 113 <label class="f">Mobile number <span class="req">*</span></label> 114 <input type="tel" name="p1_phone" required value="" placeholder="07â¦"> 115 </div> 116 <div> 117 <label class="f">Email <span class="req">*</span></label> 118 <input type="email" name="p1_email" required value=""> 119 </div> 120 </div> 121 122 <div class="sec-title">ðª Parent / guardian 2 <span style="font-weight:600;color:var(--muted);font-size:12px">(optional)</span></div> 123 <label class="f">Name <span class="opt">â optional</span></label> 124 <input type="text" name="p2_name" value=""> 125 <div class="grid2"> 126 <div> 127 <label class="f">Mobile number <span class="opt">â optional</span></label> 128 <input type="tel" name="p2_phone" value=""> 129 </div> 130 <div> 131 <label class="f">Email <span class="opt">â optional</span></label> 132 <input type="email" name="p2_email" value=""> 133 </div> 134 </div> 135 136 <div class="sec-title">ð Emergency contact <span style="font-weight:600;color:var(--muted);font-size:12px">(if different from above)</span></div> 137 <div class="grid2"> 138 <div> 139 <label class="f">Name <span class="opt">â optional</span></label> 140 <input type="text" name="ec_name" value=""> 141 </div> 142 <div> 143 <label class="f">Phone <span class="opt">â optional</span></label> 144 <input type="tel" name="ec_phone" value=""> 145 </div> 146 </div> 147 148 <div class="sec-title">𩺠Medical & other</div> 149 <label class="f">Any medical needs, allergies or additional needs we should know about? <span class="opt">â optional</span></label> 150 <textarea name="medical" rows="2" placeholder="Leave blank if none"></textarea> 151 <label class="f">Anything else you'd like to tell us? <span class="opt">â optional</span></label> 152 <textarea name="notes" rows="2"></textarea> 153 154 <div class="sec-title">â Quick check</div> 155 <label class="f">What is 5 + 5? <span class="req">*</span></label> 156 <input type="number" name="captcha" required inputmode="numeric" style="max-width:160px" placeholder="Answer"> 157 158 <div style="margin:18px 0 6px" class="fees"> 159 <strong>Fees (from enrolment):</strong> a monthly contribution of <strong>£30 per child</strong>, 160 plus a <strong>one-off £50 admin setup</strong>. Payment is by <strong>bank transfer (BACS)</strong> â 161 full details and a Gift Aid form are sent once your child's place is confirmed. 162 </div> 163 164 <div style="margin-top:16px"> 165 <button class="cta" type="submit">Submit admission request â</button> 166 </div> 167 <p class="note"> 168 <strong>How we use your information:</strong> Madrasah Noor Lancaster (part of the Lancaster 169 Islamic Community Hub, registered charity 1208606) will hold the details you provide to process 170 your child's admission, support their education, communicate with you, and safeguard their welfare. 171 We do not sell your data or share it unnecessarily; we only share where there is a safeguarding 172 concern or a legal requirement. You can ask to see, correct or delete your data at any time, and 173 you have the right to complain to the ICO (ico.org.uk). Full details are in our 174 <a href="https://lancasterisoc.org/madrasahnoor/policy_docs/parents/Data%20Protection%20and%20Privacy%20Notice.pdf" target="_blank" rel="noopener">Data Protection & Privacy Notice</a>. 175 By submitting this form you confirm you have read this notice. 176 </p> 177 </form> 178 </main> 179 </div> 180</div> 181 182</body> 183</html>
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