FULL TIME HIFZ SCHOOL Registration Alhumdulillah! Our Full-Time Hifz school registration for boys ages 9+ at HICC Masjid is now open! PROGRAM HIGHLIGHTS: MEMORIZATION OF QURAN PRINCIPALS OF TAJWEED REGULAR STUDENT ASSESSMENTS DAILY REVISION ISLAMIC TOPICS OUTDOOR TIME MONDAY TO FRIDAY 8:00 AM TO 2:30 PM AGES 9 + BOYS ONLY Limited spots available Starting September 2023. Note that there is a $50 registration fee per child. This fee will be go towards the first monthly payment. This fee is not refundable if you choose to cancel your child(ren)'s enrolment after registering via this form. Early bird monthly cost $350 until August 20,2023. Regular monthly fee $375 Jazak allahu khairun for your interest. We will get in touch with you, InshAllah. If for any reason you have trouble completing this form please call or text at 905-467-5097Student InformationHow many children are you registering? *1 boy2 boys3 boysStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *1st Child's name *1st Child date of birth *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year2125212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251st Child OHIP # *1st Student OHIP expiry date *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year2125212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619252nd Child's name *2nd Child date of birth *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year2125212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619252nd Child OHIP # *2nd Student OHIP expiry date *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year2125212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619253rd Child's name *3rd Child date of birth *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year2125212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619253rd Child OHIP # *3rd Student OHIP expiry date *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212521242123212221212120211921182117211621152114211321122111211021092108210721062105210421032102210121002099209820972096209520942093209220912090208920882087208620852084208320822081208020792078207720762075207420732072207120702069206820672066206520642063206220612060205920582057205620552054205320522051205020492048204720462045204420432042204120402039203820372036203520342033203220312030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925Parent InformationFather's name *Father's email *Father's phone number *Mother's name *Mothers email *Mother's phone number *Additional InformationFamily doctor's name *Family doctor's phone number *Does your child(ren) have any special learning needs or physical difficulties?Does your child(ren) have any medical or other conditions (i.e. allergy)?Emergency Contact Information (other than parents)Emergency contact name *Emergency contact phone *Emergency contact relationship to student(s) *Consent ** I hereby release Muslim Association of Milton and it's affiliates, its volunteers, and employees from all claims for damage arising from any activity, accident or injury which is caused by or arises from the participation of the applicant (s) names herein, during any program or in any facility where the program is held.Consent ** I grant Muslim Association of Milton and it's affiliates full rights to use the images of my "child" resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group’s aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications.TotalSubmit
