Ramadan Workshop 2023 Registration March 1, 2023 admin Darulimaan Ramadan Workshop 2023 Darulimaan Ramadan Workshop 2023 Step 1 of 9 11% Student InformationPlease Provide Student information. Number of Children*OneTwoThreeYou can apply for up to three children using this one Application form. if number of children are greater than 3, please fill out for the remaining children in separate Application form. Fee Structure: Fee : $25/ child 1st Child's Name*FirstLastDate of Birth* Gender*MaleFemaleHealth Card no* Student InformationPlease Provide 2nd Student information. 2nd Child's Name*FirstLastDate of Birth* Gender*MaleFemaleHealth Card no* Student InformationPlease Provide 3rd Student information. 3rd Child's Name*FirstLastDate of Birth* Gender*MaleFemaleHealth Card no* Parent / Guardian InformationPlease Provide student's Guardian information. Parent's / Guardian Name*Primary Email Address*Note: Provide Email Address that you will use for payment purpose to avoid delays in our response. Secondary Email AddressOptionalHome Phone*Work Phone*Street Address*City, province, postal code*More than one Guardian?*YesNo 2nd Guardian InformationPlease Provide student's 2nd Guardian information. Parent's / 2nd Guardian Name*Home Phone*Work Phone*Street Address*City, province, postal code* Alternative Emergency ContactsPlease Provide Alternative Primary Emergency Contact information. Primary Emergency ContactHome PhoneWork PhoneAddressCity, ST ZIP Code Alternative Emergency ContactsPlease Provide Alternative Secondary Emergency Contact information. Secondary Emergency ContactHome PhoneWork PhoneAddressCity, ST ZIP Code I give permission for my child to attend Ramadan Workshop 2023 at Dar Ul Imaan institute. 8627 Mississauga Road Brampton ON L6Y 0C1 Parent’s/Guardian’s Signature*Date* Registration Fee for One Child is $25/- Review and Checkout to Complete the Registration Process. Registration Fee for Two Children is $50/- Review and Checkout to Complete the Registration Process.Registration Fee for Three Children is $75/- Review and Checkout to Complete the Registration Process.NameThis field is for validation purposes and should be left unchanged.
