Re-Registration | Alfajrul Bassem

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Re-Registration for Current Students

If re-registration is not confirmed by the specified time, we will not be able to guarantee a spot for your child next year and your child’s spot will be offered to someone on the waiting list

Mother's Name

Mother's Email

Mother's Phone #

Father's Name

Father's Email

Father's Phone #

Address

Children Live with:

Both Mother & Father

Mother

Father

Guardian

Emergency Contact Name

Emergency Contact Phone #

Emergency Contact Email

Relationship to child

How many kids do you have enrolled in Alfajrul Bassem Academy?

First Child Name

First Child's Current Grade

First Child's Birthdate

Any health conditions (first child)?

Second Child Name

Second Child's Current Grade

Second Child's Birthdate

Any health conditions (second child)?

Third Child Name

Third Child's Current Grade

Third Child's Birthdate

Any health conditions (third child)?

Fourth Child Name

Fourth Child's Current Grade

Fourth Child's Birthdate

Any health conditions (fourth child)?

Fifth Child Name

Fifth Child's Current Grade

Fifth Child's Birthdate

Any health conditions (fifth child)?

Do you have any kids who will be attending Alfajrul Bassem Academy for the first-time next year (2020/2021),

Yes

No

How many kids will be joining Alfajrul Bassem academy for the first time next year 2020/2021?

New: First Child's Name

New: Child's Birthdate

New: Second Child's Name

New: Second Child's Birthdate

Select an item for re-registration fee

Re-Registration for 1 child - C$100

Re-Registration for 2 children - C$200

Re-Registration for 3 children - C$300

Re-Registration for 4 children - C$400

Re-Registration for 5 children - C$500

Media Consent

I give permission for my child to be:

Interviewed for publication by school staff or students (newsletters, websites, etc.)

Interviewed for publication by media (newspaper, radio, TV)

Photographed or to appear on video for publication by school staff or students (newsletters, websites, etc.)

Photographed or to appear on video for publication by media (newspaper, radio, TV, etc.)

Photographed or to appear on video for publication by Alfajrul Bassem Academy’s Facebook page, Instagram page and/or Twitter site

School Trip Consent

On occasion, the class may take a nature walk, go to a neighborhood park for exercise, or might take part in other outdoor activities or a short school trip. While we always strive to inform parents about these trips, they are not always planned.

I give my child/(ren) permission to participate in school trips

My child/(ren) cannot participate in school trips

Financial Information

I agree to use the same payment method as the previous year:

Yes

No

Bank Account Name

Enter New Bank Account #

Enter New Transit #

Enter New Financial Institution #

Admission Policies

Please click on the Admission Policies link below and read them carefully

I agree to the terms and conditions ofAdmission Policies

Your Signature

Date Signed

LOCATION

EMAIL

PHONE

SOCIAL

874 Sinclair Rd, Oakville, ON, L6K 2H3

info@alfajrulbassem.com

+1 (905) 514-9995

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