Waitlist Form

Student Information

First Name

Last Name

Date Of Birth

Grade In September

Gender

Home Phone

Address

Postal Code

Primary Language

City

Province

Education History

Name of Present School

Present Grade

Address of Present School

Postal Code

Special Needs

Father/Guardian Information

Full Name

Relationship to student

Phone Number

Mother/Guardian Information

Full Name

Relationship to student

Cell phone

Privacy Notice: Information is collected under the Education Act for registration, placement, communication, and reporting. Health details may be shared with public health if required. Contact the office with questions. Islamic School of Brantford may open, merge, or close classes based on enrollment.

Registration is only complete once all forms, documents, and fees are submitted. Admission is confirmed after a successful assessment.

GUIDING YOUNG HEARTS AND MINDS TOWARDS A FUTURE OF KNOWLEDGE, CHARACTER AND FAITH

Thank you for considering Islamic School of Brantford — where knowledge grows with faith.

Email: admissions@pischools.ca Phone: 548-885-2786