Registration Form – Greenhill Islamic School

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Application Year

Which school year are you applying for? *

Next Academic Year (2026-2027)

*Note: If you are enrolling multiple students, please fill out one form per child!

Section A: Applicant’s Information

Student Legal Full Name *

First

Middle

Last

Preferred Name

Country of Birth *

Date of Birth

Gender *

Primary Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

First Language *

Other Languages Spoken at Home

Birth Verification Document to be Used *

Birth Certificate/Statement of Live Birth
Passport
Permanent Residence
Citizenship Card
Refugee Claimant Form (IMM 1442)
Record of Landing (IMM 1000)
Other

Please state below: *

Status in Canada *

Canadian Citizen
Parent Work Permit
Landed Immigrant
Study Permit
Visitor
Refugee
Other

Please state below: *

Section B: Student’s Medical Information

Medical Conditions *

Please list any allergies, required medications, specific health conditions/requirements etc. Please ensure to fill out our medical form and accompany any medical documents to support/assist us in your child's care. Put N/A if this is not applicable.

Health Card Number *

Section C: Student’s Educational Background

Does this student currently require any special accommodations or support for learning? *

Please elaborate: *

Has this student ever been formally identified (e.g. through an assessment or IEP) as requiring special education services? *

Please elaborate: *

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

Has this student ever been expelled from another school? *

Is this student currently under suspension from any school? *

Incoming Grade Level (for Applied Academic Year) *

*Note: Submission of the last two (2) issued report cards is required for elementary students.

Current School Type/Board *

Ontario Private School
Ontario Public School (please state board below)
Homeschool
In Canada, outside of Ontario (please state province or territory below)
Out of Country (please state country below)
N/A

Select N/A if this will be your child's first school.

Current School Information

Where is your child currently attending school? Please provide the following information:

Name of School *

City *

Phone Number *

Last Date of Attendance

Section D: Parent/Guardian Information

Primary Parent

Full Name *

First

Last

Relationship *

Father
Mother
Guardian

*Must provide proof of custody if not the parent.

Phone Number *

Email Address *

Confirm Email

Lives with Student *

Address (if different from the student) *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact Priority *

Secondary Parent

Full Name *

First

Last

Relationship *

Father
Mother
Guardian

*Must provide proof of custody if not the parent.

Phone Number *

Email Address *

Confirm Email

Lives with Student *

Address (if different from the student) *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact Priority *

Child is under the Custody of: *

Both Parents
Mother Only
Father Only
Other

Student an ever

Please state below: *

Do you have any other children currently enrolled at Greenhill Islamic School? *

Section E: Emergency Contact Information

In case of an emergency when parents/guardians cannot be reached, the following individuals will be contacted.

Emergency Contact #1

Full Name *

First

Last

Relationship to Student *

Phone Number *

Emergency Contact #2

Full Name *

First

Last

Relationship to Student *

Phone Number *

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 (OSR). The registration form is retained in the student’s OSR by the registering school for 5 years (post retirement). Any questions about this form can be directed to the school principal.

By signing below:

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.
I understand that registration is considered incomplete until I pay the administration fee and submit the required documents either in-person or via email.
I understand that my child may be subject to an interview and/or entrance test prior to enrolment at Greenhill Islamic School.
I acknowledge that all new students are subject to a probation period throughout the school year at Greenhill Islamic School. Students who do not meet academic and behavioural expectations as determined by the school administration will be asked to seek other educational situations and will not be permitted to remain at Greenhill Islamic School beyond a reasonable period of time to transition to another educational institute.
In case of an emergency, I hereby give permission to the school to transport my child to a nearby emergency medical facility and/or allow the physician selected by the school 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 promptly inform Greenhill Islamic School of any communicable illnesses affecting my family members, even if they do not attend the school.

Signature *

Clear Signature

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Total

Price: $600.00

Stripe Credit Card *