Participant information * First Name Last Name Age Date of Birth * MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Please indicate which group you are registering your child for * Group 1 - ages 7 - 10 (at time of registration) Group 2 - ages 11 - 14 (at time of registration) Parent/Guardian Information * First Name Last Name Phone * (###) ### #### Email * Emergency Contact (other than parent/guardian) * First Name Last Name Relationship to child Phone * (###) ### #### Does your child have any allergies, medical conditions, or special needs we should be aware of? * Yes No Please ask the student to complete this section. Where necessary parents can help their child type in the answer, but please ensure the answer is in your child's own words. This class is about learning together with kindness and respect. What does being a good friend or classmate mean to you? * You’ll be learning with other students online and joining live classes. What do you do to help yourself stay focused when using a computer for learning? * Sometimes we learn best when we are quiet and listening, and other times when we are sharing. What are some ways you like to learn with others? * Can you tell us about a time you helped someone or showed good manners? Why do you think those things are important in a class? * This course is special because we all try to learn with ‘adab’—good character and respect. What do you think it means to show respect to a teacher or other students? * What makes you excited to join this class? Is there anything you’re hoping to learn or experience? * The section below is for parents to complete. Student Contract * Once you have registered, you will receive an email containing the course pack and student contract. Parents and students must read this contract (parent can read it to the student) and agree to the etiquettes of the class contained therein. You will be expected to return a signed copy of the contract (physical/digital) upon the first day of term. I understand. Location & Pick up/Drop off * Classes will be held at Williams Parkway and Kennedy in Brampton. This is a residential area, and it is expected parents will park responsibly when picking up and dropping off their child(ren). An authorised pick-up person must come to the door to pick up your child, unless you have granted permission for (older) children to leave unattended. I understand. Payment & Confirmation Policy * To secure your child’s place, the first payment must be made in cash at time of registration. This should be dropped off to the class location. Subject to the payment plan you select, you will make payment on the first Sunday of every month, or the first day of term. Spots are limited and will be confirmed only after the first payment is received. I understand. Payment Plan Selection * Please select the payment plan that best suits your family. Spread out the payments by paying $140 USD/$190 CAD a month for 10 months - a total of $1400 USD/$1900 over the year. Save $100 USD/$160 CAD by paying $216 USD/$290 CAD a month for 6 months. Pay per term and save $200 USD/$260 CAD - pay $600 USD/$820 CAD per term. Add your name below in lieu of a signature. JazakAllah khair. Your registration form has been received. You will receive an email on the address provided to with the address of where you can bring the deposit, and where the camp will take place. Please Note: Spots are limited and will be confirmed only after the deposit is received.