Online Admission Form

Instructions

Complete Application
Complete the registration form accurately. Incomplete or inaccurate information may delay or prevent admission.
Admission Approval
Submission of an application does not guarantee admission. All applications are subject to administrative review and approval.
Required Interview
A parent/guardian and student interview may be required before admission is finalized.
Program Suitability
Madina Center does not provide specialized special education services or one-on-one support. Parents/guardians must disclose any educational, behavioral, developmental, medical, or other support needs. Admission is based on the Center's ability to meet the student's needs.
Probationary Period
All new students are admitted on a 90-day probationary basis.
Right to Deny Admission
Madina Center reserves the right to approve, deny, or discontinue enrollment at its discretion.
Acceptance of Policies
Acceptance of all Madina Center policies and Terms & Conditions is required for admission.
Mandatory AutoPay
Enrollment in AutoPay is required for all tuition-based programs.
Financial Aid
Limited financial aid is available to qualified families. Supporting financial documentation, including tax returns, is required.
Compliance
Students and parents/guardians must comply with all Madina Center policies, financial obligations, and program requirements.

Programs

Select Program(s) *

Evening Quran Maktab for Boys Evening Quran Maktab for Girls Tarbia- Homeschool Support Program Morning Hifz Program Boys Evening Hifz Program for Boys Summer Camps

Student Detail

First Name *

Last Name *

Date Of Birth *

Gender *

Student Mobile Number

Student Email

Student Photo

Address *

Parent Detail

Father Name *

Father Phone *

Father Email *

Mother Name *

Mother Phone *

Mother Email *

Primary Contact

If Primary Contact Is * Father Mother Other

Name *

Relation *

Email *

Phone *

Address *