Register – Greenhill Islamic School

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Application Year

Which school year are you applying for? *

Current Year (2025-2026)
Academic Year (2026-2027)

Section A: Applicant’s Information

Name *

First

Middle

Last

Prefered Name

Email *

Phone *

Date of Birth *

Country of Birth *

Gender *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

First Language

Languages spoken at home

Birth verification *

Birth Certificate/Statement of live birth
Permanent Residence
Passport
Citizenship card
Refugee claimant form (IMM 1442)
Record of landing (IMM 1000)
Other (please state below)

Status in Canada (Please provide the school an original copy of the student's status to be stored in the OSR) *

Canadian citizen
Parent work permit
Landed immigrant
Study permit
Visitor
Refugee
Other (please state below)

Section B: Medical information

Medical conditions

(Allergies/Required medications/Specific health conditions/requirements etc) Please fill out our medical form and accompany any medical documents to support/assist us in your child's care.

Health card number *

Section C: Educational Background

Has the student ever been identified as in need of special education? If Yes, (a copy of the IEP is required). *

If the student is identified as in need of special education and a copy of the IEP is not provided, then the school reserves the right to decline registration.

Has your child ever been expelled from another school? *

Is this student currently under suspension from any school? *

Name of previously attended school *

Phone number of previously attended school *

Date last attended previous school *

Previous school type/board *

Private school
Homeschool
Ontario public school (please state board below)
Out of Country (please state country below)
In Canada, non-Ontario (please state province or territory below)

Contact Country Which

Last grade completed or currently enrolled in *

PLEASE PROVIDE THE LAST TWO (2) ISSUED REPORT CARDS FOR ELEMENTARY STUDENTS, OR THE ONTARIO STUDENT TRANSCRIPT (OR EQUIVALENT) FOR SECONDARY STUDENTS.

Child is under the custody of *

Both parents
Mother
Father
Other (please state below)

Section D: Parent/Guardian Information

Parent 1:

First *

Last name *

Phone *

Email *

Lives with student *

Relationship *

Father
Mother
Guardian

(Must provide proof of custody if not the parent)

Emergency contact priority *

Parent 2:

First *

Last name *

Phone *

Email *

Lives with student *

Relationship *

Father
Mother
Guardian

(Must provide proof of custody if not the parent)

Emergency contact priority *

Address (if different from student)

Address Line 1

Address Line 2

City

State

Zip Code

Section E: Emergency Contact Information

Emergency Contact Name 1

Name *

First

Last

Relation with the Student *

Cell Phone *

Emergency Contact Name 2

Name *

First

Last

Relation with the Student *

Cell Phone *

Section F: NOTICE TO PARENTS/GUARDIANS

Personal information collected during registration and while attending the school are done pursuant to the Education Act. It will be used for school planning and programming, home and school communications and to establish the Ontario Student record. The Registration form is retained in the student’s OSR by the registering school for 5 years (post retirement). Direct any questions about this form to the school principal.

I hereby certify that the included information is accurate to the best of my knowledge and I understand that it is my responsibility to advise the school immediately of any changes in information stated on this form.
In case of emergency, I hereby give permission to the physician selected by the school or transport my child to a nearby emergency medical facility to provide necessary treatment for my child
I understand that minor injuries or accidents will be treated on the school premises and that I will be notified of any such treatment
I agree to inform Greenhill Islamic School immediately of communicable illnesses any of my family members contract even if they do not attend Greenhill Islamic School

New Student Registration Form

Application Year

Section A: Applicant’s Information

Section B: Medical information

Section C: Educational Background

Section D: Parent/Guardian Information

Parent 1:

Parent 2:

Section E: Emergency Contact Information

Emergency Contact Name 1

Emergency Contact Name 2

Section F: NOTICE TO PARENTS/GUARDIANS