Summer Camp 2024 Registration Form July 8 – August 15 | 10AM – 2:30PM Registration Form Which Summer Camp 2024 program are you applying for?Regular Summer Camp (ages 4 to 17)Preschool Summer Camp (ages 2.5 to 4)Hifz Summer CampHifz Program for BeginnersSpecial Needs Summer CampWill your child need extended hours supervision? (Regular Camp Only)Please refer to the "Fee Information" section below for additional fees related to extended hoursMorning (8:30am - 10:00am)Evening (2:30pm - 4:30pm)Morning & Evening (8:30am - 4:30pm)No extended supervision neededWhere did you hear about our Summer Camp Program?*FriendFamilySchool StaffFacebook Sponsored PostGoogle SearchOtherSection A: Applicant’s InformationFirst Name*Last Name*Date of Birth*Age*Gender*Please selectMaleFemaleAddress Line 1*Address Line 2City*Province*Postal Code*Primary Phone Number*Secondary Phone NumberEmail Address*Section B: Parent's/Guardian's InformationParent 1Last Name*First Name*Relationship*FatherMotherGuardianCell Phone*Email*Parent 2Last NameFirst NameRelationshipFatherMotherGuardianCell PhoneEmailSection C: Emergency Contact InformationEmergency Contact Name*FirstLastRelation with the Student*Cell Phone* Section D: Medical InformationPlease list all medical conditions that may impact your study at AlManarat Academy or that may require attention while you are on campus. If there are none, please enter N/A*Health Card Number*Version Number*Section E: Fee Information Regular Summer Camp Fee: $475 Hifz Summer Camp Fee: $475 Hifz Program for Beginners Fee: $250 Special Needs Summer Camp Fee: $750 Extended Hours (Regular Summer Camp Only) 8:30am - 10pm: $150 2:30pm - 4:30pm: $200 Or $350 for both morning and evening Payment Method: Direct DepositDirect Deposit InformationBranch/Transit Number*Institution Number*Account Number* Section F: 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 take full responsibility to enroll my Child at Al Manarat AcademyI am financially responsible for his/her fees and expensesPARENT'S / GUARDIAN'S SIGNATURE*Date*SendThis field should be left blank