Al Madina School of Richmond

10700 Academy Dr, Midlothian, VA 23112

Admission Form

NOTICE for NEW Parents

Please begin your online application form. Be sure to click "Continue Next" throughout the application process. After this portion of the application is complete, you will receive a 'Thank You' message. Next, you will be sent your username and password to our parent portal (Orbund), via the email you provided. Lastly, complete your child's enrollment record by logging in through the link sent to you and filling in his/her medical information and all other fields. If you do not receive your login information after 24 hours, please contact us at 804-330-4888.

(Please be advised, Pre-K 3, Pre-K 4 and Kindergarten quickly reach FULL CAPACITY, at which time, your application will be put on a waiting list).


with required paperwork and fees ($75 application fee and $150 deposit per child) should be submitted as soon as possible, as payment of fees is the only way to reserve your child's seat. Annual Fees (e.g. resource, activity fees etc.) are due by July 31. New students will be admitted on a first-come, first-serve basis as space in the 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