Al Madina School of Richmond

10700 Academy Dr, Midlothian, VA 23112

Admission Form

NOTICE for Parents

Please complete the online application form for the parent as well as for the student(s). At the end of the process, you should receive a 'thank you' message. Please be advised, Montessori Pre-K and Kindergarten quickly reach FULL CAPACITY; WAITING LIST will be used.

Application forms with required paperwork and fees ($75 application fee and $150 deposit per child) should be submitted as soon as possible. Annual Fees (e.g. resource, activity fees etc.) are due by July 31, 2018. New students will be admitted on a first-come, first-serve basis as space in class allows.

Please complete one form for each student.



1st Parent/Guardian Information

2nd Parent/Guardian Information


1st Emergency Contact

2nd Emergency Contact

Family & Siblings Information

1st Sibling Information

2nd Sibling Information

3rd Sibling Information

4th Sibling Information