Night School Fall 2021

Student Profile and Attendance Sheet

ENGUU -01 Location: __________________________

Course: _____________________ St. Xavier Mr.
Teacher: ____________________________ Mesquita
At Ramadan Jordi
Student Name_______________________________________________ 353789894
Student ID #_____________________________
Last Name First Name

Date of Birth: 2004

___________________
08 11 17
Age: __________
(Year) (Month) (Day) (as of September 1st )

Circle
5251
(Apt #) Bushelgrove
(Street #)
ON
(Street Name) Mississauga
25M GCS
Address ______________________________________________________________________________________________
(City) (Province) (Postal Code)

Home Phone 864 7704

647 _______________________
(______) 647 _________________________
Cell Phone: (______) 864 77-04

koala Ghasi Fateh

1st Parent/Guardian ______________________________________ 647 ______________________
Business Phone: (______) 818 1977
(Surname) (First Name)

2nd Parent/Guardian At Ramadan Rabee

_____________________________________ 647 ______________________
Business Phone: (______) 864 0968
(Surname) (First Name)

Emergency Contact _____________________________________ Phone: (______) ______________________

(Surname) (First Name)

Medical Concerns: _______________________________________________________________Epinephrine Auto Injector: Yes or No ✓

St. SS
Aloysius Gonzaga
Last Attended Secondary School: _______________________________________________________________________ .

2021
Tue Thur Tue Thur Tue Thur Tue Thur Tue Thur
Date 21 23 28 30
6:00 p.m. –
September 7:45 p.m.
8:00 p.m. –
9:30 p.m.
Date 5 7 12 14 19 21 26 28
6:00 p.m. –
October 7:45 p.m.
8:00 p.m. –
9:30 p.m.
Date 2 4 9 11 16 18 23 25 30
6:00 p.m. –
November 7:45 p.m.
8:00 p.m. –
9:30 p.m.
Date 2 7 9 14 16
6:00 p.m. –
December 7:45 p.m.
8:00 p.m. –
9:30 p.m.

A: Absent L: Late S: Suspended