New students registration form

  • This form works perfectly on google chrome, So be advised to use google chrome application while filling in the form
  • After filling in the form, click submit and you will be redirected to Paypal Page to make the payment
  • If you have more than 3 kids
    •  Use this registration form to register for 3 of your kids then reuse the registration form to register for the rest of your kid
    • To do payment for more than 3 kids use this link  
  • Current date *
    How many student do you want to register for?*
  • First student informations
  • First Name *
    Last name *
    Full name in Arabic
  • Date of birth *
    Place of birth*

    Gender*
    MaleFemale
  • Address*
    Apt:
  • City *
    Province *
    Postal code*
  • Health card number *

    Expiry date *

  • Does the student have any medical conditions? *
    YesNo

  • If yes, please explain

  • Does the student take any medication? *
    YesNo

  • If yes, please explain

  • Does the student has any alergy?

    YesNo

  • If yes please explain

  • ----------------------------------

    First student informations
  • First Name *
    Last name *
    Full name in Arabic
  • Date of birth *
    Place of birth*

    Gender*
    MaleFemale
  • Address*
    Apt:
  • City *
    Province *
    Postal code*
  • Health card number *

    Expiry date *

  • Does the student have any medical conditions? *
    YesNo

  • If yes, please explain

  • Does the student take any medication? *
    YesNo

  • If yes, please explain

  • Does the student has any alergy?

    YesNo

  • If yes please explain

  • ---------------------------------------------------------------------------

  • Second Student informations
    First Name *
    Last name *
    Full name in Arabic
  • Date of birth *
    Place of birth*

    Gender*
    MaleFemale
  • Address*
    Apt:
  • City *
    Province *
    Postal code*
  • Health card number *

    Expiry date *

  • Does the student have any medical conditions? *
    YesNo

  • Please explain

  • Does the student take any medication? *
    YesNo

  • Please explain

  • Does the student has any alergy?

    YesNo

  • If yes please explain

  • -----------------------------------

    First student informations
  • First Name *
    Last name *
    Full name in Arabic
  • Date of birth *
    Place of birth*

    Gender*
    MaleFemale
  • Address*
    Apt:
  • City *
    Province *
    Postal code*
  • Health card number *

    Expiry date *

  • Does the student have any medical conditions? *
    YesNo

  • If yes, please explain

  • Does the student take any medication? *
    YesNo

  • If yes, please explain

  • Does the student has any alergy?

    YesNo

  • If yes please explain

  • Second Student informations
    First Name *
    Last name *
    Full name in Arabic
  • Date of birth *
    Place of birth*

    Gender*
    MaleFemale
  • Address*
    Apt:
  • City *
    Province *
    Postal code*
  • Health card number *

    Expiry date *

  • Does the student have any medical conditions? *
    YesNo

  • if yes, please explain

  • Does the student take any medication? *
    YesNo

  • Please explain

  • Does the student has any alergy?

    YesNo

  • If yes please explain

  • Third student information
  • First Name *
    Last name *
    Full name in Arabic
  • Date of birth *
    Place of birth*

    Gender*
    MaleFemale
  • Address*
    Apt:
  • City *
    Province *
    Postal code*
  • Health card number *

    Expiry date *

  • Does the student have any medical conditions? *
    YesNo

  • if yes, please explain

  • Does the student take any medication? *
    YesNo

  • if yes, please explain

  • Does the student has any alergy?
    YesNo
  • If yes please explain

  • Primary parent informations
  • First name
    Last name
    Phone Number
  • Relationship to the student MotherFather
  • Email

    Emergency contact informations
  • First Name
    Last Name
    Address
  • City
    State / Province / Region
    Phone
  • Email

  • Photo and video consent form

    I hereby give my consent to Amjad Islamic school to use and broadcast any photographs /video/audio of my minor child on the official Amjad Islamic school website and on other official sites: YouTube Channel, Facebook, as well as for media purposes, including promotional presentations and advertising campaigns. In addition, I waive all claims to compensation or damages based on the use of his/her image/voice by the school. I also waive any right to inspect or approve the finished works.
    I agree that all such works and any reproductions shall remain the property of Amjad Islamic school unless otherwise noted.
    AgreeDisagree

  • Please read and confirm that you understand and accept the school rules and policies

  • Accept