Quranic Arabic Registration Page

Quranic Arabic

Registration Form

Quranic Arabic 101 – Sunday | 3:30PM- 5:30PM

Registration Form

Which program are you registering for?

Which course are your registering for?*

Quranic Arabic 101

Quranic Arabic 102

Section A: Applicant’s Information

First Name*

Date of Birth*

Last Name*

Gender*

Section B: Contact Information

Address Line 1*

Address Line 2

City*

Province*

Postal Code*

Primary Phone Number*

Secondary Phone Number

Email Address*

Section D: Fee Information

Fee: $75 per month
$150 for book two books (one-time payment)
You will be required to pay your fees via PayPal after submitting the registration form to confirm your spot.

Section E: Enrolment Agreement

Declaration*

MUNICIPAL FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT : Personal information on this form is collected under the legal authority of the Education Act, R.S.O. 1980, c.129 and Health Card Numbers Control Act, 1991. This information will be used for the purposes of: processing student registration, production of student databases, student placement and referrals, statistical and reporting requirements by the Ministry of Education, program to students, contacting parent(s), guardian(s), etc., in case of emergency, and the disclosure of health related information to the Medical Officer of Health. Questions regarding this collection and use of personal information should be directed to the Administration Office.

I am financially responsible for course fees

APPLICANT'S SIGNATURE*

Date*

This field should be left blank