ISM In-Person / Online Registration Form
ISM In-Person and Online will be closed. Reopening will begin start of September. Parents will be contacted in the month of September. Thank you for your understanding. 
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Enrolling for *
Father's Full Name *
Father's Email *
Father's Work Phone Number (Format: xxxxxxxxxx numbers only)
Father's Cell Number (Format: xxxxxxxxxx numbers only) *
Mother's Full Name *
Mother's Wrok Phone Number (Format: xxxxxxxxxx numbers only)
Mother's Cell Number (Format: xxxxxxxxxx numbers only) *
Mother's Email *
Emergency Contact Person's Name (Other than Parents) *
Emergency Contact Person's Phone Number (Other than Parents) (Format: xxxxxxxxxx numbers only) *
Address *
City *
Province *
Postal Code *
Home Phone Number (Format: xxxxxxxxxx numbers only) *
Family Doctor Name *
Family Doctor Phone Number (Format: xxxxxxxxxx numbers only) *
Student's First Name *
Student's Middle Name
Student's Last Name *
Student's Date of Birth *
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DD
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YYYY
Student's Gender *
Previous Islamic Study
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OHIP Number *
Expiry Date *
MM
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DD
/
YYYY
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