Masjid Ar-Rahmah

Albayan School 1

Tuesdays & Thursdays, 6:00 – 8:00 PM. AMA Community Centre — 1216 Hunt Club Rd., Ottawa.

Boys & Girls, ages 6 – 16 · $425.00 per child

Registration

Send e-Transfer to albayan@mymasjid.ca. Include the payment code you receive after submitting.

Father & mother contacts

Fill this once for the whole family. Phone number is required for the father; alternate phone and mother details are optional.

Father first name *Father last name *Father email *Phone number * 10 digitsAlternate phone numberMother first nameMother last nameMother emailMother phone numberHome language

Address *City *Province *Postal code *

Emergency contact

Full name *Phone * 10 digits

Children

Assumed level places them temporarily until staff confirms.

Child 1

First name *Last name *Other nameGender *Date of birth *Assumed Quran level *Health card #AllergiesRemedy / medicationDoctor nameDoctor phone 10 digitsNotes

Photo consent for school useNew student this year

Payment

Fee is $425.00 per child · Total for this form: $425.00

After you submit, you will receive one payment code for your family. Include that same code in every Interac e-Transfer to albayan@mymasjid.ca.

I understand registration is not complete until full payment is received.