Darul-Tarteel Full-Time Hifdh

Full-Time Hifdh Program Registration Form

(2021-2022 Academic Year)
Thank you for choosing Darul-Tarteel's Full-time Hifdh program. If you have any questions or would like more information about the application process, please e-mail darultarteel@abuhuraira.org.

Please ensure all required information is provided and all processes are completed, otherwise, your application cannot be processed.
- Completed application form
- Completed EFT form (Last Section)
- Recent photo of the applicant
- Copy of the applicant’s birth certificate (or passport)
- Copy of the applicant’s record of immunization
Once all admission procedures have been completed, you will be notified of the decision regarding your child. If your child is accepted, you will be required to enter into a contract with Darul-Tarteel Full Time Hifdh, acknowledging the role that you are required to play.

Category	Amount
Monthly Fee	$275.00
One-Time Administration Fee	$50.00

Darul-Tarteel is committed to quality education at an affordable cost for all families. We will be unable to reduce fees any further or to consider any other special requests.
Parent/Guardian Details
Parent/Guardian Name *

First Name Last Name
Relationship *
(Father, Mother, Guardian, etc.)
Phone Number *
Please enter a valid phone number.
Other Phone *
Please enter a valid phone number.
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Student(s) Information *
Emergency Contact Info
Emergency Contact *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Relationship to Student/Family *
Permission to Pick up Child(ren): *

Yes No
Terms of Agreement

Please read thoroughly before signing this form.
A. ADMISSION & PLACEMENT
- The school Principal or designate determines the level and classroom placement.
- Darul-Tarteel does not have the resources to adequately fulfill the learning needs of children with behavioral issues, special needs students, or students who require ongoing medical supervision. Darul-Tarteel reserves the right to reject and/or discontinue the admission of a student if it has been established that the student fits any of the above categories.
B. I AGREE TO THE FOLLOWING (“I”, refers to the Parent or Guardian of the child):
- Inshaa’Allah I will bring my child(ren) at 8:30 am every morning.
- Inshaa’Allah I understand that my child(ren) could be expelled from the school if the punctuality rate of 90% is not maintained per year.
- Insha’Allah I will make sure that my child(ren) complete their daily memorization & review and check my child(ren)’s progress report on a daily basis.
- I understand that once my child(ren) completes the program (memorization of the Qur’an) they will have to recite one full Khatma (one cycle) by memory to be eligible for graduation. The duration of the Khatma will be based on the child(ren)’s learning ability.
C. FINANCIAL
- When a student is accepted, pre-authorized payment or void cheque must be provided with the registration forms
- We require a full year (Sept-Aug) commitment which is 12 months to complete the school year, if you, however, decide to remove your child(ren) from the program before the completion of the school year, then please notify the school 30 days prior to the withdrawal and pay a cancellation fee of $300.00.
- If you decide to travel you will still be charged depending on the length of the vacation to hold your spot in the program otherwise your spot will be given up to someone else.
- Fees must be paid for the full month in which the student(s) begin(s) school.
- There will be an NSF charge of $25 for payments that have been declined.
- Failure to maintain regular payments will result in revoking enrollment of students
D. AUTHORIZATION & WAIVER OF LIABILITY
- Darul-Tarteel is not liable for any property damage or personal injury which may arise during the transportation of students to and from school by his/her parents or a third party.
- (I/We) hereby authorize Darul-Tarteel to contact schools and other sources to obtain information to support this application. The undersigned releases every person and institution from all liability resulting from or pertaining to the furnishing of records, documents, and other information provided to Darul-Tarteel for that purpose.
Optional

Please read thoroughly before signing this form.
E. AUTHORIZATION ON FIELD TRIPS:
- I give permission for my child(ren) to leave the premises of the Abu Huraira Center to participate in trips.
- I give permission to the staff of the Abu Huraira Center to take my child to all scheduled trip locations for the school year. I give the staff permission to take my child(ren) on trips to local parks and playgrounds.
- I agree that my child may be transported to trip sites by School Bus, Public Transit, or by walking.
- I understand that my child(ren) will be escorted and supervised by the staff of The Abu Huraira Center while participating in these activities
F. AUTHORIZATION & CONSENT FOR CHILDREN WALKING HOME:
- I give permission to have my child(ren) walk home by him/herself (if 10+ years of age)
- I give permission for my child(ren) to walk home with a friend or sibling (must be older than 12
- I have read the Waiver, Disclaimers & Consent and I fully understand the contents and meaning of the Waiver, Disclaimers & Consent form.
- I have also read the Waiver, Disclaimers & Consent and fully agree to the terms of the Waiver, Disclaimers & Consent.
G. PHOTOGRAPHY, MEDIA RELEASE & WAIVERS:
- I hereby give Abu Huraira Center and its partners and affiliates consent to use and reproduce my child(ren)'s name/image for promotional purposes related to Abu Huraira Center, its member programs, and/or external partners. My child’s first name (unless otherwise authorized)/image may be published or used in newspapers, promotional videos, television commercials, program brochures, posters, on the World Wide Web or otherwise displayed to the public or used for other educational/fundraising purposes, either in whole or in part by Abu Huraira Center, its member programs, and/or external partners.
- I release Abu Huraira Center and its agents from all claims, of any nature, based on any uses of the above.
- I, the parent/guardian of the child(ren) named on Part A give permission for such child(ren) to participate in the programs and services of the Abu Huraira Center, and consent to any necessary first aid or emergency medical treatment is given or provided for the child(ren), waive any claims against the Abu Huraira Center, the sponsors of said programs, or any of the Abu Huraira Center representatives, employees or volunteers, in respect to any personal injury to such child(ren) or to any other person or any loss of or damage to property, arising in any way at, from or in connection with the programs and services of Abu Huraira Center.
- I am providing this waiver on behalf of such child(ren) and on behalf of my spouse and any other family members or other persons who might be entitled to assert such a claim as well as on my own behalf.
Parent Signature *

Clear
Date Signed *

Month Day Year
Date
Payment Information

(Tuition is $275.00 per child per month. There will be a one time fee of $50 to cover administrative costs. Only payment option is monthly bank withdrawals on the 23rd of every month. There is a $25 NSF charge. All requests to stop automatic withdrawals must be given ONE (1) month prior. No Electronic Funds Transfer (EFT) cancellations last THREE (3) months of school year.)
Name of Account Owner *
Please enter name as stated on void cheque/direct deposit form
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Bank Name *
Account Number *
Institution Number *
Transit Number *
Withdrawal Date *

Month Day Year
Select a date (before the 10th of the month) you wish for Darul-Tarteel Weekend Hifdh to process your monthly fees from your account. This will be auto-recurring.
Signature *

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Full-Time Hifdh Program Registration Form

Parent/Guardian Details

Terms of Agreement

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