Edmonton Muslim Girls School

Registration Form
Student Info:
First Name:*
Last Name:*
Middle Name:
Gender:*
Birth Date:*

Parent/Guardian Info:
Guardian Name:*
(if applicable)
Relationship
to Student:*
Phone:*
Email:*
Address:*
City:*
Province:*
Country:
Postal/Zip Code:*

Emergency Contact:
Name:
Phone Number:


Further Details
Days:
Monday:9:00 AM to 1:00 PM
Tuesday:9:00 AM to 1:00 PM
Wednesday:9:00 AM to 1:00 PM
Thursday:9:00 AM to 1:00 PM
Fees: TBD
Place:
Other Info:

For Further info. Please Contact:

Sh. Mahmood Khan 438-879-8441 or

Sr. Umm Umar at 780-964-1823