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					                                                                             Office Use Only:

                                                                             Name of Student:__________________

                                                                             Date Registered:_________________

                                                                                                     Grade:_______

                                       410 Desalaberry Avenue
                                           Winnipeg MB
                                          R2L 0Y7 Canada
                                        Tel: (204) 489 -1300
                                        Fax: (204) 489-1323
                                      Email: ais123@mts.net



REGISTRATION FORM


Dear Parents,

We would like to welcome your child to our school. In order to complete the registration the
following documents and fees are required.

Registration Fee (New Student only)                    $50.00

School supplies fee per child (K to Gr.3)              $50.00

Agenda fee (grades 4-9)                                $10.00 (List provided by the teacher)

                           The fees should be paid at the time of registration.

If paying by cheque please make them payable to: Al-Hijra Islamic School and attached with the
completed registration form.

To complete the registration these documents are required:

    1. A copy of your child's Birth Certificate or a

               Landed Immigrant Certificate
               Student authorization form

    2. A copy of your child’s immunization form

Please note that students enrolling in Gr. 1- 9 may be required to write a test for placement in a
suitable grade according to their age.

If you have any question, please contact our school directly at 489-1300


OFFICE USE ONLY

NAME OF STUDENT: ______________________________________________

DATE REGISTERED: ______________________________________________

GRADE: ___________       REGISTRATION FORM COMPLETED              REGISTRATION FEE PAID: 
                         STUDENT FEE PAID (K-3)                   AGENDA FEE PAID:            
                          STUDENT APPLICATION FORM

                                        (Please print clearly)


STUDENT NAME:

                                                (Last)                    (First, Middle name)
HOME ADDRESS:

CITY:                                                                PROVINCE:

POSTAL CODE:                                                         TELEPHONE:

DATE OF BIRTH (YR, MM,DD):

GENDER:
                                   MALE                            FEMALE    
FATHER’S NAME:                                                      TELEPHONE #

MOTHER’S NAME:                                                      TELEPHONE #

DOES YOUR CHILD LIVE
WITH BOTH PARENTS:
                                   NO                              YES   
LAST SCHOOL ATTENDED:

LAST GRADE COMPLETED:

LANGUAGES SPOKEN AT                ENGLISH  FRENCH  ARABIC 
HOME:
                                   OTHER  PLEASE LIST ______________________________________

STUDENT STATUS:                    CANADIAN CITIZEN  LANDED IMMIGRANT  STUDENT VISA 

STUDENT’S 9 DIGIT HEALTH
#(MHSC)
OTHER COVERAGE:

FAMILY DOCTOR:                                                            TELEPHONE:

HAS YOUR CHILD ANY HEALTH PROBLEMS I.E. (ASTHMA, DIABETES) OR IS ON ANY MEDICATION OR
NEEDS ASSISTANCE WITH MEDICATION PLEASE WRITE THEM DOWN BELOW SO THAT WE MAY
ASSIST YOUR CHILDE BETTER.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________


IF A PARENT IS NOT AVAILABLE PLEASE PROVIDE A PERSON TO CONACT IN CASE OF EMERGENY:

NAME:                           TELEPHONE:                              RELATIONSHIP TO PARENTS:
____________________________________________________________________________________________________
                                   SCHOOL POLICIES

O' CANADA ANTHEM AND REMEMBRANCE DAY:

Please be advised that the Public School Act and the Dept. of Education regulations require
all students to sing "O Canada" at the opening of each school day. They also require students
to take part in the Remembrance Day exercises. Each school must hold Remembrance Day
exercises on the day prior to November 11th. If November 11th falls on a Sunday or a
Monday, the exercises are to be held on the preceding Friday.


CODE OF CONDUCT:

Al-Hijra Islamic School maintains a firm and caring “code of conduct” that is positive at all
times. This involves courtesy, respect, obedience, cooperation and safety.
It is expected that all parents will take appropriate measure in support of the school’s
policies.

Students are expected to follow:

      Follow class rules and school regulations
      Complete assignments on time and neatly
      Maintain good study habits to the best of their ability

Important to remember that any class disruption, cheating, lying, rudeness, disobedience,
refusal to do assignments, fighting, throwing objects that could cause injury, or any other
improper behaviour can and will lead to suspension.

Parents or guardians will be informed of any problem. The student will be given a first and
second warning.

ON THE THIRD WARNING

      A conference will be set up with the child-parents-principal and teacher
      The school will present a mandatory 2-week plan for the child which all will sign
      The parents and the school will each have a copy of this plan which will clearly state
       the consequences if the child does not demonstrate improvement within 2 weeks
      Students are responsible for completion of any work assigned to them during their
       period of suspension
      Upon returning to the school, the child must apologize for his/her misbehaviour and
       pledge to improve his/her behaviour

Expulsion will result in case of any of the following:

      Violent behaviour towards any adult or student
      Extreme rudeness or disobedience
      Extreme disruption in class or on the playground
      Destruction or theft of school property
      Continuous disregard for class and school rules
       Profanity or vulgarity



                       TUITION FEE SCHEDULE AND CONTRACT
               Please make sure that the tuition for your child/children is paid on time.

        K-GRADE 9                            ANNUALLY                             MONTHLY
FIRST CHILD                                   $1,250.00                            $125.00

SECOND CHILD                                   $1,000.00                            $100.00

THIRD CHILD (AND MORE)                          $750.00                             $75.00


NB: Registration is not considered complete until the established tuition fee contract is signed.

PLEASE COMPLETE:

STUDENT NAME/S                                       GRADE




I _____________________________, have read the fee schedule and will pay the entire fee
of ____________________ for my child/children on or before the _______week of every
month for 10 months.

                      (School term begins September and ends of the June)


_______________________________                                   _________________
      Parent/Guardian signature                                         Date
                                            Financial Aid


A limited fund to help cover the tuition fee is available each year to those who need it. Interested
parents are required to submit a detailed statement of their financial status to the AIS School Board for
a confidential review. The financial aid is subject to review at the start of each year.

                            Complete if you need to apply for assistance:

I ___________________________________, have read the fee schedule above and I am requesting to
have a financial review on my payment for my child/children. I am enclosing for the review:


Bank statement with current balance                              Bank letter 


PARENT/GUARDIAN SIGNATURE _________________________________________

DATE: ________________________




Office use only

Signed contract agreement received by: _____________________________

Signed contract agreement received on: _____________________________


Comments:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________


                     DRESS CODE AND SCHOOL UNIFORM POLICY


Our uniform policy is now in effect for the school year 2009-2010. Please refer to the booklet
enclosed in this registration package to order the uniform for your child. The policy regarding
the uniforms will be strictly enforced for all students.
                                Thank you for your cooperation!

        Boys                                                      Girls

Shirt: White (short sleeves)                              Shirt: White (long sleeve)
Pants: Navy Blue                                          Slacks: Navy Blue
V-neck pull-over: Navy Blue                               Cardigan Sweater: Navy Blue
Prayer Cap: Optional                                      Prayer scarf: White (1 Meter Square)

Gym uniform

For boys and girls: Grey sweat pants and white T-shirt. (Possible school logo on shirt).
               RECOMMENDED STUDENT DRESS & APPREARANCE


Students should be properly attired in the Islamic manner upon entering the school building.
    For boys: Hair should be neat and above the collar.
    For girls: Hair should be styled to stay out of the eyes.

Shoes should cover the foot and must be sturdy enough for outdoor play. Sandals and open
toes shoes are not appropriate for school activities.

Extra clothing for Kindergarten children should be kept in school. For the "rest-time" parents
may supply a mat, a quilt and a toy.


                             PROHIBITED IN OUR SCHOOL


NO baseball caps or other hats should be worn in the school

NO jewellery (chains, necklaces, bangles, bracelets, rings, etc.)

NO shirts with pictures or writing on them

NO Jeans

NO nail polish (or other make up)

NO Barbie dolls, guns or action figures (no toys from home)
                                   TRANSPORTATION


Transportation is the responsibility of the parents. Car pooling arranged among parents is one
way to meet transportation needs. Please let the office secretary know if you are able to help
families that require transportation.


                      ALHIJRA ISLAMIC SCHOOL – LOCATION

				
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