Registration form for new student

Each student in the family needs to submit a separate form

Please enter all numbers without spaces or brackets

Current date

Session


Student Information

Last name

First Name

Full name in Arabic

Date of birth

Place of birth

Gender

Address

Apt:

City

Province

Postal code

Medicare Number

Expiry date

Does the student have any medical conditions?

YesNo

If yes please explain

Does the student take any medications?

YesNo

If yes please explain

Does the student have allergies?

YesNo

If yes please Explain




Do you speak Arabic at home?

YesNo


Mother's Contact Information

First name

Last name

Home phone

Cell phone

Email Address

Address if different from student

Tax Receipts

YesNo

I will be able to volunteer sometime during the school year

yesNo


Father's Contact Information

First name

Last name

Home phone

Cell phone

Email Address

Address if different from student

Tax Receipts

YesNo

I will be able to volunteer sometime during the school year

yesNo


Emergency Contact

First name

Last name

Home phone

Cell phone

Relationship to student


PHOTO AND VIDEO CONSENT FORM

I hereby give my consent to Al-Huda-Verdun School to use and broadcast any photographs /video/audio of my minor child on the official Al-Huda-Verdun 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 Al-Huda-Verdun School, unless otherwise noted.

AgreeDisagree