Registrant Information * Sisters Only (Ages 15 and Above) ** Admission to the program is based upon the interview. Name* First Last Age*Please enter a value between 15 and 100.Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email* Phone Number*Do you require Childcare?*YesNo** Junior Program Age Limit: 4 months to 4 years. Childcare offered based on availability. How Many Children?*12Name of Child 1 First Last Age of Child 1*Name of Child 2 First Last Age of Child 2*Health InformationDo you suffer from any health conditions?*YesNoWhat health conditions?*Do you require any medication to be taken at school?*YesNoEmergency Contact InformationEmergency Contact Name* First Last Emergency Contact Phone Number*Relation*Applicant Consent* I hereby solemnly declare that I or my family do not have any link or affiliation with, nor support or follow any religious groups with political motives or inclined to terrorist activities or extremism under the banner of Islam. I am applying to study seriously in order to get closer to the Creator and improve in my conduct and relationships. Tuition Fee* Price: $ 100.00 CAD ☆ No Registration Fee!! ☆ **$100.00 per month *** Monthly Tuition Fee will be collected at the AlHuda Institute (5671 McAdam Road) at Fee Window only! ** Tuition fee will be due First Week of each month. *** Accepted forms of payment via Cash, Debit card or Cheque. ** Cheque must be payable to: “Al Huda Islamic Centre of Canada”. *~*~* Fee Window Hours of operation: - Tuesday & Thursday 9:00 am-3:00 pm or Saturday & Sunday 9:45 am-2:00 pm Join Our NewsletterSign up now to receive news on latest events & Emaan building articles. I agree to have my personal information transfered to MailChimp ( more information ) Al Huda will never give away, trade or sell your email address. You can unsubscribe at any time.