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ISM Sunday Madrasa In-Person Registration Form (10:00 PM to 4:00 PM Every Sunday)
After the form has been filled, Parents will be contacted by administrator in about 5-7 days time. We appreciate your patience and understanding.
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* Indicates required question
Enrolling for
*
In-Person in the Masjid
Father's Full Name
*
Your answer
Father's Email
*
Your answer
Father's Work Phone Number (Format: xxxxxxxxxx numbers only)
Your answer
Father's Cell Number (Format: xxxxxxxxxx numbers only)
*
Your answer
Mother's Full Name
*
Your answer
Mother's Wrok Phone Number (Format: xxxxxxxxxx numbers only)
Your answer
Mother's Cell Number (Format: xxxxxxxxxx numbers only)
*
Your answer
Mother's Email
*
Your answer
Emergency Contact Person's Name (Other than Parents)
*
Your answer
Emergency Contact Person's Phone Number (Other than Parents) (Format: xxxxxxxxxx numbers only)
*
Your answer
Address
*
Your answer
City
*
Your answer
Province
*
Your answer
Postal Code
*
Your answer
Home Phone Number (Format: xxxxxxxxxx numbers only)
*
Your answer
Family Doctor Name
*
Your answer
Family Doctor Phone Number (Format: xxxxxxxxxx numbers only)
*
Your answer
Student's Frist Name
*
Your answer
Student's Middle Name
Your answer
Student's Last Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Student's Gender
*
Male
Female
Previous Islamic Study
Basic
Intermediate
Advance
None
Clear selection
OHIP Number
*
Your answer
Expiry Date
*
MM
/
DD
/
YYYY
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