Admission Registration

Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Cell Phone *
Home Phone
Email *

First Name *
Last Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Cell Phone *
Home Phone *
Email *

I authorize Al-Manarat Heights to include the names, email addresses and other contact information for our immediate family in the school directory. *
YesNo

Photographs of my child may be used in the advertising/promotion of the Al-Manarat Heights in any medium and without any royalty. *
YesNo

Health Card Number *Please insert the ten digit Health Card Number with Version Code.
Medical and Allergy Information and Restrictions *
All medications administered at school need a complete Medication form. Please see the administration for further information. Please list any medical conditions, chronic or relevant developmental information and if any special accommodations are needed for your child. For allergies, parents/guardians are required to give written instruction on what the school needs to do in the case of allergic reaction, under “steps to take”
Known allergies and Steps to take should a reaction occur *
Special diet *

I agree *
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 also understand that certain medical information may need to be shared with the school staff if deemed necessary by the administration and I hereby give my consent for the disclosure of information otherwise protected by HIPAA, including protected health information, with the school and its agents. The information and health history in this form is correct to the best of my knowledge, and the person herein described has permission to engage in all activities, except as noted in this form.YesNo
If I do not wish for my child to participate in a particular field trip, I understand that it is necessary to keep my child home from school on the day of the trip. I wish my child to participate
YesNo
I agree *
Compliance Policy In compliance with state regulations, I will pick-up my child as soon as possible in the event that Al-Manarat Heights calls to inform me that my child is ill. I agree to inform Al-Manarat Heights immediately of communicable illnesses any of my family members contract even if they do not attend Al-Manarat Heights.YesNo

I Agree *
Al-Manarat Heights admits students without regard of any race, colour, national origin, religion or ethnic background. Any fees paid to the school, including tuition or activity fees, are non refundable. No refunds will be due or issued as a result of a day missed due to illness, holidays or vacations or if the school is closed as a result of weather or other events beyond our control. Each student (and their family) agrees to abide by all of the rules and regulations published by the school from time to time on its website or otherwise distributed. The rights, obligations and responsibilities here under shall transfer to any successor in interest or acquirer of the assets or interests of the school. All student records are considered confidential. They may be available to parents and legal guardians up on request by them to the school. Student records will only be released to other schools or agencies upon the signed request/legal guardian and only after all accounts due to the school are paid in full. I understand that the school and its agents are required to report suspected child abuse or neglect.YesNo
First Name *
Last Name *
Relationship to Child *
Email