Secondary School Application – Al Huda Elementary School

Student Information

Name of Child*

First Middle Last

Gender*

Male

Female

Date of Birth*

Current Grade*

General Student Information

Primary Language Spoken at Home*

Previous Grade Completed*

Previous School District

Previous School Name*

Has your child ever been on an Individual Education Program (IEP)?*

Yes

No

In which grade?

Has your child ever been suspended or expelled from school?*

Yes

No

In which grade?

Has your child ever received ESL (English as second language) support?*

Yes

No

In which grade?

Has your child ever been registered at Al Huda Institute or Al Huda Elementary School (AHES) before?*

Please select all that apply

Yes - JP Program

Yes - Summer School

Yes - AHWS

Yes - Returning student

Yes - other Courses

No

If you selected Yes to any of the above please specify what name had they been registered under:*

Student Health Factors

Does your child have a Medical Condition (ex: allergy, asthma, seizures, skin condition, health concern, etc)?*

Please note: Anaphylaxis form submission and two labeled EpiPen's are required for the student's who have an allergy.

Yes

No

Please specify details about the Medical Condition(s)*

Medication Required at School?*

Yes

No

Student Application Documents

Please take a photo or scan the documents

Report Cards of your child from the past two sessions*

-Report cards received in June 2023 and/or November 2023

Drop files here or

Accepted file types: jpeg, jpg, gif, png, pdf, ico, doc, docx, Max. file size: 100 MB.

Birth Certificate, PR Card or Passport for proof of Canadian Residence & Age*

Drop files here or

Accepted file types: jpeg, jpg, gif, png, pdf, ico, doc, docx, Max. file size: 100 MB, Max. files: 2.

Parental Agreement

In consideration for the enrollment of my child(ren) at Al Huda Secondary School:

-I understand that:

● In the case of absence, or removal from the school or any of its services, I am still obliged to pay all applicable fees.

● If there is a case of any non-sufficient fund (NSF) in my bank account, I will pay a $25 penalty.

● If any school related fees, textbooks, library books or any other material belonging to Al Huda Secondary School are outstanding, report cards will not be issued until the outstanding account has been cleared.

● School does not have the resources or facilities to accommodate special needs students, gifted children, and children with learning and/or physical disabilities.

● It is my responsibility to inform the school of any changes in: 1) medical condition (ex: allergies); 2) contact information (ex: address, e-mail, phone, etc.); 3) custody.

-I hereby grant permission for my child(ren) to:

● Use the play equipment and participate in all school activities.

● Use the Internet for academic purposes.

● Travel in a school bus and leave the school premises under the supervision of a staff member to participate in school trips.

● Participate in academic assessments and competitions.

● Be included in any pictures and/or video connected with the school program and promotion of the school.

Before Submitting, please agree to the terms below.*

I understand that registration is not complete until ALL required documents, forms, and registration fees are submitted. I also understand that submission of all the documents, forms, and registration fees does not guarantee admission into the program.

Where did you hear about us?

Social Media

Word of Mouth

Other

Application Fee*

Price:

Phone

This field is for validation purposes and should be left unchanged.

Student Information

General Student Information

Student Health Factors

Student Application Documents

Student Residential Address

Parental Information

Emergency Contacts

Other Information

Parental Agreement