Register here to participate in the Active Madrassah Youth Leadership Academy.

Please complete the form below and a member of the Active Madrassah team will be in touch with further details.

Name(Required)

First Last

Email(Required)

Please select your age range(Required)

Parents Name(Required)

First Last

Parents' Email(Required)

Telephone number

Mosque or Madrassah Name

Your School Name

Are you able to commit to attending 7 days?(Required)

The training will be spread over 7 dates, these are as follows: 12th September, 26th September, 26th October, 7th November, 5th December, 16th January, 10th April

Yes, I can attend 7 days

No, I cannot commit to all days

Do you have any dietary requirements?

Do you have any accessibility or support needs we should be aware of?

Do you take any medication or have any allergies we should be aware of?

Why would you like to take part in this training and what are you hoping to gain from it?(Required)

Please write your answer in no more than 350 words

Register here to participate in the Active Madrassah Youth Leadership Academy.

Please complete the form below and a member of the Active Madrassah team will be in touch with further details.

Keep in touch