Masjid Ar-Rahmah

Albayan School 2

Sundays (times vary by season). AMA Community Centre — 1216 Hunt Club Rd., Ottawa.

Boys 6 – 9 · Girls 6 – 23 · $275.00 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 $275.00 per child · Total for this form: $275.00

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.