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What’s New?
Education
Community & Resources
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Al-Ihsan’s Field Trip Form

Step 1 of 4

25%

Please select the field trip you are registering for(Required)

Parent/Guardian Full Name(Required)

First Last

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Parent/Guardian Phone Number(Required)

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Parent/Guardian Email(Required)

Number of Children(Required)

One

Two

Three

Four

1) Child Full Name(Required)

First Last

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1) Child: Date of Birth(Required)

DD slash MM slash YYYY

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1) Child Gender(Required)

Male

Female

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1) Child 1: Shoe Size(Required)

First Child Total

Price:

2) Child Two: Full Name(Required)

First Last

This field is hidden when viewing the form

2) Child Two: Date of Birth(Required)

DD slash MM slash YYYY

This field is hidden when viewing the form

2) Child Two: Gender(Required)

Male

Female

This field is hidden when viewing the form

2) Child Two: Shoe Size(Required)

Second Child Total

Price:

3) Child Three: Full Name(Required)

First Last

This field is hidden when viewing the form

3) Child Three: Date of Birth(Required)

DD slash MM slash YYYY

This field is hidden when viewing the form

3) Child Three: Gender(Required)

Male

Female

This field is hidden when viewing the form

3) Child Three: Shoe Size(Required)

Third Child Total

Price:

4) Child Four: Full Name(Required)

First Last

This field is hidden when viewing the form

4) Child Four: Date of Birth(Required)

DD slash MM slash YYYY

This field is hidden when viewing the form

4) Child Four: Gender(Required)

Male

Female

This field is hidden when viewing the form

4) Child Four: Shoe Size(Required)

Third Child Total

Price:

Bus Consent(Required)

I hereby consent to my child (ren) using the bus transportation provided by Al-Ihsan to and from the field trip.

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Independent Driving Consent

I hereby will be driving my child (ren) myself to and from the fieldtrip.

Participation Consent(Required)

I permit my child(ren) to take part in the Al-Ihsan's Summer Camp field trip to Clip n Climb on Thursday, August 14, 2025.

By signing this form below, I affirm that I understand that the fieldtrip activities may expose my child to some risks, and I assume any such risk or injury that may arise there from. I accept full responsibility for all medical expenses for any injuries that might occur to my child by reason of his/her participation.
By signing this form below, I hereby release Al-lhsan, it’s Board members, administrators, directors, officers, teachers, employees, agents, assigns, and volunteers from and against any and all claims, demands, actions, complaints, suits or other forms of liability that any of them may sustain (a) arising out of my child’s failure to comply with local, state, and federal laws and school policies, procedures, and Rules of Conduct; (b) arising out of any damage or injury caused by
or to my child; or (c) arising out of a parent/guardian/ or other designated driver’s operation of a motor vehicle or school bus in relation to this activity. I also
agree to indemnify and hold harmless the released parties from the released claims, including any and all related costs, attorney fees, liabilities, settlements, and/or judgments.

Parent/ Guardian Signature(Required)

Grand Total

Credit Card

Card Details

Cardholder Name

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Tuition Payment by Etransfer

Please send your etrasnfer in the full amount of your course tuition to
finances@ihsan.ca

IMPORTANT: The full name and email address you used to register for the course must be added as a note to the etrasnfer to assure the payment is applied to your account.