Hidaya Academy Enrollment Form 2025-2026
Applicant Information
Student Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
City
*
State
*
Country
*
Gender
*
Male
Female
Back
Next
Save
Previous School
Name of School
*
School Address
*
Street
Street Address Line 2
City
State / Province
Postal / Zip Code
Enrollment this Fall 2025
*
Please Select
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Back
Next
Save
Contact In case of Emergency
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
*
Relationship
*
Back
Next
Save
Parental Information
GUARDIAN 1
*
First Name
Middle Name
Last Name
Address of GUARDIAN 1
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
*
Email
*
example@example.com
Back
Next
Save
GUARDIAN 2
*
First Name
Middle Name
Last Name
Address of GUARDIAN 2 (if not the same as above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
Email
example@example.com
Save
Submit
Should be Empty: