Register for HDIS

It is our distinct pleasure and honor to welcome you all to Hamilton Downtown Islamic School. Hamilton Downtown Islamic School (HDIS) started its operation on the 5th of September 2017. Our goal is to achieve high academic standards; teach valuable subjects that are not offered in public schools such as Quran, Islamic Studies, and Arabic beside Ontario Curriculum; and ensure that our students are learning in an environment that appreciates and practices Islamic rules and regulations. Our staff work hard to maintain an environment of caring, respect, good education, and high Islamic values.

Application Year*

Which school year are you applying for?*

Current Year (2024-2025)

Next Year (2025-2026)

Section A: Grade Classification

Class Applying For*

Attest Passport Size Photograph (White Background)

Section B: Applicant’s Information

First Name*

Middle Name

Last Name*

Gender*

Date of Birth*

First Language Spoken*

Unit No. (Apt)

Street No.*

Street Name*

Street Type (ST, RD, AVE, BLVD, CRES, etc)

Street Direction (N, E, S, W, NE, NW, SE, SW)

City*

Province (ON, AB, BC, NB, NL, etc)*

Postal Code (No spaces in between e.g. A3A3A3)*

Phone Number (Format 999-999-9999)*

Phone Type*

Section D: Parent's/Guardian

First Name*

Last Name*

Relationship*

Phone Number (Format 999-999-9999)*

Phone Type*

Gurdain Email Address*

Section D: Parent's/Guardian 2

First Name*

Last Name*

Relationship*

Phone Number (Format 999-999-9999)*

Phone Type*

Gurdain 2 Email Address*

Section C: Previous School Information

Previous School Name

Last Grade Completed

Phone Number

Section E: ALTERNATE AND EMERGENCY CONTACTS

Name*

Relationship*

Language Spoken*

Phone*

Can Pick Up Student?*

Name*

Relationship*

Language Spoken*

Phone*

Can Pick Up Student?*

Name

Relationship

Language Spoken

Phone

Can Pick Up Student?

I have obtained the consent of the person(s) listed above to be names as alternate/emergency contacts.

Section F: School Directory

I authorize Hamilton Downtown Islamic School to include all contact information provided in this registration form in the school directory.

Section G: Medical Information

Health Card Number*

Version Code*

Name of The Family Doctor*

Family Doctor Phone Number*

Is Student's Immunization Record Complete?*

Yes

Please list all medical conditions that may impact student's study at Hamilton Downtown Islamic School or that may require attention while you are on campus. If there are none, please enter N/A.*

In case of emergency, I hereby give permission to the physician selected by the school or transport my child to a nearby emergency medical facility to provide necessary treatment for my child

I understand that minor injuries or accidents will be treated on the school premises and that I will be notified of any such treatment

I agree to inform Hamilton Downton Islamic School immediately of communicable illnesses any of my family members contract even if they do not attend Hamilton Downtown Islamic School.

Section H: Upload Required Documents

1. A COPY OF BIRTH CERTIFICATE

2. A COPY OF HEALTH CARD

3. A COPY OF IMMUNIZATION RECORDS

4. A COPY OF THE VOID CHEQUE

Section I: Consent/Signature

Hamilton Downtown Islamic School’s Payment Policy:

Fees

1. Non-refundable Supply and Registration Fee is required upon registration for each child.
2. First and last month advance payment is required upon registration.
3. Monthly Fees are due on the 1st of every month

Late Payment

4. If a payment is late without prior communication with the school, the student's enrollment will be temporarily suspended after a 5-day grace period and will only be reinstated once the outstanding balance is settled.
5. Families experiencing financial difficulties must contact the school accountant before the due date to discuss possible payment arrangements.

Absence

6. If a child is absent during the school term for a vacation or any other reason, the fee for that period must be paid in full. A child's absence, regardless of its duration, does not exempt parents from payment.

Withdrawal

7. If you withdraw your child during the school year, you must provide the school with at least 30 days' prior notice before the 1st of the month. If you fail to do so, you will still be responsible for paying the following month's fee after signing the formal withdrawal form at the office. Notice must be given by email to the Admin Office.
8. Student withdrawal requests will not be accepted during the last two months of the school year (May and June). If a family chooses to withdraw during this period, full tuition fees will be charged regardless of attendance.
9. All school fees must be paid via posted cheques or direct deposit.

I have read and understood the School Monthly Payment Policy.

Part 1– MEDIA CONSENT

I, Parent/Guardian, hereby grant Hamilton Downtown Islamic School (HDIS) and its partners permission to record, photograph, film, audiotape, or videotape my child’s name, image, student work, and performance (hereinafter collectively referred to as “Works”).

I further authorize HDIS to display, publish, or distribute these Works for educational and promotional purposes, including but not limited to:

* HDIS’s website and official social media platforms

* School newsletters, posters, and publications

* Television or radio broadcasts

I understand that:

* I waive any right to review or approve the final use of these Works, whether now or in the future.

* I waive any right to compensation or royalties related to the use of these Works.

* These Works may appear in public spaces beyond HDIS’s control, such as online platforms or external media.

* HDIS is not responsible for unauthorized reproductions or third-party misuse of the Works.

AGREE – I consent to my child’s participation in recorded HDIS events and activities as described above.

DO NOT AGREE- I do NOT consent to my child’s participation in recorded HDIS events and activities as described above.

Part 2 – External Media Consent

I understand that external media organizations (e.g., news outlets, broadcasters, and online platforms) may attend school events. By signing below, I grant permission for my child’s name, image, student work, and performance to be recorded and published by external media organizations.

AGREE – I consent to my child being photographed, filmed, audio-recorded, or videotaped by external media organizations.

DO NOT AGREE – I do NOT consent to my child’s participation in external media recordings.

I have read this Student Media Release Consent Form and I fully understand the contents and meaning of this release.

I understand that I am free to contact the Principal with any questions regarding this release.

PARENT'S / GUARDIAN'S SIGNATURE*

Date*

This field should be left blank