Izzah Teens 2024-2025
Izzah Teens 
Wednesday 5:15-7:15 pm
Spring Session Apr 9-May 28
FEE: $85
E-transfer: izzahlearningcenter@gmail.com
**If you make the payment by e-transfer, please write on the message box the name of the course**
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Email *
Participant's Full Name *
Age of Participant (DOB dd/mm/yyyy) *
Mother's name *
Mother's email *
Father's name *
Father's Email *
Home Phone *
Cell phone *
Address *
Postal Code *
Emergency Contact name *
Emergency Contact Phone number *
To Finalize Your Registration A Payment Is Required (preferably by e-transfer, cheque or cash), choose an option: *
Student Photo Release Report:
Photos, videos, films or interviews will only be done with the prior knowledge and consent of the school principal or designate and will not be used for commercial gain. I/we hereby consent to the inclusion of photographs of my/our child in the following:
• class pictures, yearbook, special events/awards, videos and films
• photographers, films, or interviews taken by media as part of a school-related activity
• school board publications produced by the Communications Department
• photographs for use on school Internet pages and our public web sites

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