Madrasa Registration Form

Please Register Below:
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Selected Value: 1

Student Information

Student First and Last Name
Date of Birth

Parent / Guardian Information

Parent/Guardian 1 First and Last Name
Parent/Guardian 2 First and Last Name

Emergency Contact Information

Name of Local friend or relative (not living at same address)

Consent & Agreements

Emergency Consent
I hereby authorize ISA to provide any information on this form to the supervising teacher or staff in order for them to care for my kid during school hours in the event that an injury requires medical attention. I am aware that every effort will be made to get in touch with me, but in the event that a medical emergency necessitates immediate attention and I am unable to be reached, I authorize ISA to provide my kid with the appropriate medical care, including authorization to transport him or her to the closest medical institution.

Liability Consent
I am aware of and accept the fact that, despite taking all reasonable measures to ensure student safety, the Islamic Society of Ajax staff cannot be held responsible by me in the event that my child suffers a personal injury or accident while attending school at any time during the school day on a school trip or during a school outing.

Emergency Closure Consent
In bad weather, Even though staff may make an effort to keep the school open, students are not required to must be at school in bad weather. Parents must determine whether the weather makes it safe for their kids to go to school. For information regarding school closings, pay attention to radio and television weather reports. For updates and additional information, kindly check the school's website or social school social media pages. I give my consent for my child to be sent home in case of inclement weather or an emergency caused by a heater malfunction, water leak, gas leak, etc.

Terms and Conditions

  • Parents are responsible for their children`s safety outside the school hours and are expected to drop off and pick up their children on time.
  • All students must be picked up within fifteen minutes after school closure during school days.
  • As guardians you agree to pay the monthly fee as long as your child is enrolled as a student in the Evening Quran School, even during holidays including Ramadhan.
  • Dress Code: we appreciate kids to come in Islamic dress, ex: Abaya, Kurta, Jilbab, Head coverings. We would like to maintain a zero tolerance policy for tight, revealing, short clothing/s, jewelry for boys and un-clean clothing.
  • Parents/Guardians are not allowed to contact teachers during class hours: NO EXCEPTIONS! They can be reached before or after the school timings (if available).
  • Parents/Guardians are not allowed to pressure teachers into speeding the pace of the learning of the child/children. All such inquiries/concerns maybe brought to the attention of the Evening Madrassa Administration desk and immediate measures will be taken.
  • Masjid E Quba fees are based off of 10 months (for evening class), and 11 months (for full time hifz and evening hifz), including the month of Ramadhan (when it coincides within the School Year (September through June/July).
  • Fees are due the beginning of every month.
  • Parents are requested to have adequate Insurance for their children, Islamic Society of Ajax takes no responsibility for injury or other mishaps on and off the premises of the Centre.
  • The Islamic Society of Ajax office may modify these rules and regulations at any time.
  • Cancellation Policy: For any reason if you decide to discontinue your child`s course, we need one month written notice and a completed withdrawal form. If you are unable to fill out the form to cancel then your monthly deductions will go to the donation fund, including the month of Ramadhan.
  • NO CELL PHONES or other electronic devices are allowed in the class, if found, confiscated items will be returned to parents after class only, and repeats will be returned at the end of the school year.
  • Parents should contact evening school administrator for any issues related to fees or class.
  • Minimum age for enrollment is 5 years for boys and girls.
  • Parents cannot sit in classes during school timings. Please contact school administrator Br. Shah Quadri for any concerns.
  • Covid-19 Protocol, If your child/ren is/are sick with any symptoms of Covid-19 (Cough, Fever, Sore throat, loss of taste etc.), please keep your Child/ren home for the appropriate duration, and only send them back to school after they have fully recovered.
  • To the best of my knowledge, I certify that all of the information in this application is true and current.
Yearly Registration fee (per child) $10 is NON-REFUNDABLE
Book prices will vary according to grade.

Note: Fees subsidy is available for deserving children. Fees will be paid from Zakat Fund. To apply for fee subsidy, parents need to check the subsidy option and sign under Fee payment information area.

Confirmation and Submission

The above information is true to the best of my knowledge. I have read, agreed and understood all rules and terms of this form.