NORTHWEST ISLAMIC SCHOOL

NORTHWEST ISLAMIC SCHOOL
Nurturing our children as future leaders & proud Canadian Muslim
9 Royal Vista Dr. NW, Calgary AB T3G 0E2
STUDENT REGISTRATION FORM
[COMPLETE FORM IN UPPER-CASE ONLY] ALL * FIELDS ARE MANDATORY
FATHER'S NAME*
MOTHER'S NAME*
ADDRESS*
CITY/ PROVINCE*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CELL PHONE*
Format: (000) 000-0000.
HOME PHONE*
Format: (000) 000-0000.
EMAIL ADDRESSES*
example@example.com
EMERGENCY CONTACT (NAME* & PHONE*)
STUDENT INFORMATION

STUDENT INFORMATION

Rows	LAST NAME*	FIRST NAME* N	GENDER M/F*	DATE OF BIRTH YYYY-MM-DD	AB HEALTH CARD NUMBER*	FEE - annual
1
2
3

PLEASE NOTE: Fee payment via CHEQUE or CASH (Without fee payment, admission will NOT be granted)
FEE DETAILS: 1^st child $550/ year. Each additional sibling $500 / year (Includes textbooks, bags, supplies).
NOTE: 1. Payment option in CASH, (requires full amount to accompany the form) to confirm admission.
2. Payment by e-transfer (requires full amount to confirm admission): inquiry@nwislamicschool.com
3. Payment by Cheque, has option to split the total Fee into:
TWO post-dated cheques (need to be accompanied with the form as well)
(1^st cheque: 01 Sept; 2^nd cheque: 01 Dec;) payable to: "NOAH FOUNDATION FOR LEARNING".
4. Deadline for registration withdrawal with full fee refund: 15^th August, 2026
(s) #
for
dated
(Parent Signature)
Should be Empty: