Al-Furqan Part Time Programs Student Registration 2019-20 Insha Allah
Bismillah

Assalam alikum, Registration is now open for all new and returning students for Al-Furqan Part Time programs all locations.

** First come first basis, spots are limited **

1) Please fill in the following MANDATORY form for all returning and new students to sign-up for Al-Furqan School Part Time Programs in any one location.

Programs Insha Allah are as follows:
- After-Abraar (in 70 Fieldrow from 3:45 pm to 5:00 pm M, Tu, W, Th)
- West (in 70 Fieldrow on Tu & Th from 6:00 pm to 8:00 pm)
- East (2525 Alta Vista on M, W from 6:00 pm to 8:00 pm).

2) After you sign-up online, to confirm your spot, please make the payment by cheque on the designated payments dates by September 4th, to the Principal. Cheques must be addressed to "MAC - Al-Furqan School Part Time Ottawa"

3) Notice: Failure to fill in this form correctly and on time before classes start could result in administrative penalty, and you will not be able to receive important school updates.

Thank you - JAK,

Administration

Email address *
Program Location (Pick the location you want your students to attend the Al-Furqan Part Time school): *
STUDENT FULL NAME (For Example: Mohamed Omar) *
Your answer
FATHER FULL NAME (For Example: Sherif Mohamed Abusheika) or Guardian Full Name *
Your answer
Father's Email *
Your answer
MOTHER FULL NAME (For Example: Rania Hadi) or Guardian Full Name *
Your answer
Mother's Email *
Your answer
Home Address (House Number, Street, for example: 23B Acorn Crescent) *
Your answer
City *
Postal Code (For Example: K2K 3B5) *
Your answer
Quran Class Level in September 2019 *
Student's Date of Birth (Al-Furqan School Part Time is for ages 5 to 12 years) *
MM
/
DD
/
YYYY
Student's Age in September, 2019 (Al-Furqan School Part Time is for ages 5 to 12 years) *
Gender *
Allergies, Medical, or Health Concerns (Please state clearly) *
Required
Remedy for Allergies, Medical, or Health Concerns (Please state clearly, for example: Epi Pen labeled and in student backpack) *
Your answer
Cell Phone of Father During School Hours *
Your answer
Cell Phone of Mother During School Hours *
Your answer
Name of Emergency Contact *
Your answer
Phone of Emergency Contact *
Your answer
Photo Consent Form *
Required
Payment Due by Cheque in full before classes start: *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service