2024-2025 Admissions Application Form (Pre-K through 8th Grade)
Thank you for your interest in Al-Madinah Queens Campus School!  Please fill out the information below to the best of your ability. If you are unsure of how to respond to a question simply use the answer N/A.  

Someone will contact you as we approach the new school year to discuss further steps. In the meantime, please prepare to finalize your registration process by collecting the following documents.

  • Health Forms (most recent)
  • Immunization Record
  • Birth Certificate
  • 2 Proofs of Address
  • Parent ID 
  • 1 passport picture

These documents as well as any tuition and related school fees will be completed upon registration. 

As for the current admissions process, we are ONLY accepting the application form below as well as a non-refundable enrollment/seat deposit of $200. This deposit secures your child's seat/spot within the school for the upcoming school year. 

"If you experience any difficulties while filling out this application, please contact us at info@almadinahqueens.com or call us 347-507-0167.

ALL PAYMENTS ARE DUE IN CASH OR CARD. THERE IS A SURCHARGE FEE OF 3% ON CARD TRANSACTIONS.  


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What grade will the student be attending in the Fall of 2024. 
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Student's First Name 
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Student's Last Name 
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sex *
Required
Date of Birth mm/dd/yyyy
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MM
/
DD
/
YYYY
Place Of Birth *
Language spoken at home 
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Country of Origin(Father)
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Country of Origin(Mother)
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Previous school the student has attended, including the name of the school, the address and grade 
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Has your child had any major operation or injuries? 
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Does your child regularly take any medication? Please explain.  
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Does your child have any sight or hearing impairment that would require special attention? Please explain.  
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Are there any physical activities that your child should refrain from?  Please explain.  
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