Malton Masjid - Admission Form
7097 Airport Road, Mississauga, ON L4T 2G7 | Tel: (905) 671-8777 | madresa@maltonmasjid.ca
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Programs Details:
Please review age/grade criteria below before filling the form:
Age of Admission: Grades 7 & up (Diploma in Islamic Studies) - $100 / Child
Age of Admission: Grades 4 - 7 (Part time Evening Hifz Class) - $115 / Child
Age of Admission: 5 - 17 years (General Class) - $60 / Child
Age of Admission: Highschool and University Students (Youth Class - Boys) - Free

Next Steps: Once the form is filled, the admin staff will connect with you soon or at a later date depending on the program start date and class vacancy to discuss the next steps. InshaAllah. Ineligible applications will not be contacted.
List of Programs (please select one): *
Student - First Name *
Student - Last Name *
Gender *
Age *
Date of Birth *
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School Grade *
Parent - First Name *
Parent - Last Name *
Address *
City *
Postal Code *
Province *
Phone Number - Primary *
Phone Number - Secondary
Email *
Emergency Contact - Name *
Emergency Contact - Phone Number *
Allergies / Medical Conditions
Comments (if any)
I certify that the information on this form is complete and accurate.  As the parent/guardian of the child(ren) registered above, I release Anjuman-E-Anwarul Islam of Malton and individuals, from liability in the event of personal injury or accident caused to the child(ren) while he/she is, at any excursion or after the teaching hours.  Students will not be permitted to leave early or arrive late without a written and signed note from the parent/guardian.  I (we) agree to see that my enrolled child(ren) are punctually brought and picked up on time.  I (we) agree to inform the Admin office, in writing, of any changes in the mailing address or the contact number(s).  In addition, I (we) read, understood, and will abide by the rules and regulations of the Madresa. *
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