Registration Form (2024-2025)

Parent / Guardian Name

Parent's Email Address

Primary Phone Number

Mother / Alternate phone number

WhatsApp Phone number (To add in Parents group & further communication)

Student's Name (as on Health card)

Student's Health Card Number

Student's Age (Please select the appropriate group)

Student's Date of Birth

Address

Please describe any allergic/seasonal reactions your child may suffer from or any other illness/special needs of which we should be aware ?

(This information will help us to make student’s learning a more enjoyable, and fulfilling experience, and will be held in the strictest confidence.)

Please explain if your kid have any allergies.

Payment Information

If you wish to pay with a Debit or Credit card, please check this box.

If you wish to pay using a void cheque, please check this box.

Card Number

Card holder name

Expiration

CVV

Zip / Postal Code

Signature

Void Cheque' or 'Direct Deposit Form' for monthly payment registration.

Bank Name

Bank address

Transit Numer

Institution Number

Bank Account Number

Signature

Waiver: I hereby waive my right to make any claim against Management and Volunteers of MMCC, in case of any harm/injury to my son / daughter or loss of any valuable / belongings during attendance in class. I will assume full responsibility of compensation to MMCC for any damages to the property caused by my son / daughter. In the case of an emergency, I give permission to transport my son / daughter to a hospital for medical treatment.

Sunday Islamic School

Registration Form (2024-2025)

Payment Information