Summer 2024 Registration Form Section A: Applicant’s InformationWhich summer course would you like to register for?*Business Leadership (BOH4M)Mathematics (MTH1W)First Name*Last Name*Date of Birth*Age*Gender*Please selectMaleFemaleGrade Applying For*Address 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 Al Manarat High School 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: Direct Deposit InformationBranch/Transit Number*Institution Number*Account Number*Fees Date: July 15th - August 15th (Monday - Friday) Time: 9am - 3:00pm Course Fee - $200 Section F: Please Scan and Upload the Following Documents1. A COPY OF BIRTH CERTIFICATE*2. A COPY OF HEALTH CARD*3. A COPY OF IMMUNIZATION RECORDS*4. A COPY OF THE VOID CHEQUE*5. Other Relevant DocumentsSection G: Enrolment AgreementDeclaration*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.PARENT'S / GUARDIAN'S SIGNATURE*Date*I take full responsibility to enroll my Child at Al Manarat High SchoolI am financially responsible for his/her fees and expensesSendThis field should be left blank
