Mosque School Al-Hijra By-Laws Events Sisters Al-Hijra Newsletter Useful links for new-comers

Online Pre-Registration Form

Once you have filled in all the information below, make sure you scroll to the bottom of this page and click on the submit button to submit your registration.

Fields marked by * (asterisk) are required

Parent Information:

Father's Last Name:*		Father's First Name:*
Mother's Last Name:*		Mother's First Name:*
Address:*		City:*
Province:*		Postal Code:*
Phone:*		E-mail:

Student Information:

	Last Name	First Name	Date of birth (Y.M.D)	Grade in September
1.*
2.
3.
4.
5.

If you have any other questions or comments, please type them in the box below:

* Please verify the information again and check the box before you submit