Al-Hujjat Study Centre Registration Form 2025/2026

As-salāmu ʿalaykum Welcome to the registration form for the new academic year 2025/26. Please complete your details below.

1Parent/Guardian Info

2Student Info

3Terms & Conditions

4Payment Info

Number of children*
Parent/Guardian 1
Name*
First Last
Relationship to Student*
Home Phone*
Cell Phone*
Email*

Payment receipt and registration confirmation will be sent to this email.
Emergency Contact
Name*
First Last
You can also use this section to include an emergency contact
Relationship to Student*
Home Phone*
Cell Phone*

Terms and Conditions
Terms and Conditions for Registration:*
I agree to the terms and conditions.
1. Canada’s Anti-‐Spam legislation (CASL) requires we ask permission before sending email updates.
By checking the box below, you give ISSC Al-‐Hujjat permission to send you email updates.
2. I understand that Madrasah materials including the Quran Curriculum and Tarbiyah content will not
be shared to any third-party resources as these items are prone to copyright. I also understand that
I cannot print the textbooks and share it with non-registered families as it will be a violation of
ethics and again, copyright issues.
3. I further declare that I won’t be sharing any Zoom meeting/Google Classroom passwords to non-
registered families as these passwords are exclusive to registered families only.
4. I declare having read and understood the Student Insurance Agreement and Waiver Form, as it
appears below, in its entirety and hereby consent to participate acknowledging the contents of
Insurance Agreement Form.
5. I understand and agree to abide by the policies and guidelines of ISSC Al-‐Hujjat, including giving
permission to the administration and teachers to enforce the Code of Conduct. We agree that we
will pay any fines incurred if our child(ren) break anything belonging to Al-‐Hujjat Study Centre,
including damage to furniture or premises.
AL‐HUJJAT ISLAMIC SHIA STUDY CENTRE INSURANCE AGREEMENT AND WAIVER FORM*
I agree to the insurance agreement and waiver.
As a condition of participating in any Islamic Shia Study Centre (ISSC) activities, I as
parent/guardian of the students being registered, consent to the below:
Participating in certain activities including, but not limited to, individual and team sports, clubs
or recreational activities or events held by the Student Council may increase the risk of
accidents and/ or injuries. The Islamic Shia Study Centre and the Islamic Shia Ithna Asheri
Jamaat of Toronto does not provide any accidental death, disability, dismemberment insurance
or medical expenses on behalf of students.
I understand that certain activities at the Study Centre, including field trips, extracurricular,
etc. require a minimum level of fitness and health (physical, mental and emotional) and that
each person has a different capacity for participating in these activities.
I hereby agree and promise that my child, ward or self is physically able to participate and
understand that the choice to participate brings with it the assumption of those risks and
results which are part of these activities.

I hereby release, waive and forever discharge the Islamic Shia Study Centre (ISSC) and the
Islamic Shia Ithna Asheri Jamaat (ISIJ) of Toronto, its members, agents, representatives, elected
and appointed officials and assigns of and from any and all claims, demands, damages, costs,
expenses, actions and causes of actions whatsoever, whether in law or equity, in respect of
injury or loss. I further agree to indemnify and save harmless all of the aforesaid from and
against any and all liability incurred by any of them arising as a result of, or in any way
connected with the participation in these types of activities.

I hereby allow the Study Centre to use my child(ren)'s name, photo, and video streams or recordings for internal publication, and for promotional, advertising, and public relations purposes.
Media Waiver
I give my permission to use my child's image in Local Madrassah Publications like Newsletters and Al-Hujjat WhatsApp Groups*
- Yes
- No
I give my permission to use my child's image in External Publications like those managed by ISIJ, their committees, and/or Razavi Community Centre (RCC). This could include their newsletters, community groups, and posts on their YouTube channels*
- Yes
- No
Your Name*
First Last
I, the undersigned, acknowledge that this consent is voluntary and can be revoked with written notice to the Madrassah administration.

Payment Information
Payment Amount*
- Full Term ($125/child)
- Subsidy Request
Amount of Relief Requesting*
Reason for Request of Economic Relief*
Administrative Fee*
Price:
Per Family
Al-Hujjat Registration Fees 2024/25 - Full Term*
Price: 0.00
Donation

Please consider making a donation towards Al-Hujjat Study Centre. Tax Receipts will be provided for all donations.
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*
Card Details
Cardholder Name
Total
0.00
Subsidy Request
For subsidy requests, you will receive an email with further instructions on how to complete your registration.

Parent/Guardian 1

Emergency Contact

Child 1

Child 2

Child 3

Child 4

Child 5

Terms and Conditions

Media Waiver

Payment Information

Subsidy Request