Registration for weekend School (Al Rayan Islamic Centre- Courtice Masjid)
First, last Name of Guardian | Relationship *
Your answer
Last , First Name of Student *
Your answer
Phone Number *
Your answer
HomePhone
Your answer
HealthCard *
Your answer
Email Address *
Your answer
Address
Your answer
City
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Postal Code
Your answer
Emergency Contact *
Your answer
Age *
Your answer
Gender *
which class you want to enrol? *
• I/we take responsibility for providing transportation for our child(ren) immediately after any program for that day. I/we acknowledge that there will be no one on the premises before the start of and after the conclusion of the activities and that no one will be supervising our child(ren) before the start of and after the conclusion of the activities and/or the time assigned for my child’s lesson. *
- I/we have read the attached QURAAN CLASSES RULES and shall abide by all of the rules listed therein. *
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