Re-enrollment Application
​for Current Parents

Madina Academy
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    Re-enrollment Application

    This online re-enrollment form is for current Madina Academy families. If you are enrolling children for the first time, please visit the enrollment page and download the necessary documents.
    This form assumes there are no changes that need to be made to the Emergency contact, photo/email authorization, nor Release forms. If any changes need to be made to any of these forms, please fill out the appropriate forms on the enrollment page and mail them to the school.


    ​Parent Information

    Please fill in both parents' information.

    Home Address/Phone


    Children Information

    Please fill in the following information for each child. If additional field are needed, please add them to the comment section at the end.




    Tuition Contract Agreement

    I (we) will pay the tuition for all my (our) children using the following payment option.
    I (we) have reviewed the Tuition Policies on the enrollment page and have been given an opportunity to seek explanation for anything that needed to be clarified. I (we) clearly understand and accept the Tuition Policy as outlined by the Board of Education (“Board”) of the Academy. We agree to pay according to the payment option selected above.


    ​Please note that application submission is NOT COMPLETE until the re-enrollment fee is paid and all required forms are submitted.

Submit Application
Madina Academy is a non profit organization, registered with Internal Revenue Service as a 501(c) (03) public charity.  The Academy does not discriminate on the basis of race, color, national or ethnic origin in its policies regarding enrollment, scholarships and financial aid.

Madina Academy is accredited by the New England Association of Schools and Colleges (NEASC).
  • Home
  • About
    • Mission & Vision & Core Values
    • School Anthem
    • Faculty & Staff Directory
    • School Board
  • Schools
    • Smart Bees Learning Center
    • Elementary School
    • Middle School
    • Upper School >
      • About Upper School
      • Upper School Uniform
      • Course Catalog
      • Forms & Documents
      • Frequently Asked Questions
  • Parents
    • Parent Resources
    • Academic Calendar
    • Uniform Guidelines
    • Newsletter
    • Supply Lists
    • Summer Work
  • Teachers
  • Student Life
    • Academic Support
    • Clubs
    • National Honor Society
    • CT Science & Engineering Fair
    • CT Invention Convention
    • CT History Day
    • Hassan Hathout Writing Contest
    • Gallery
  • Enrollment
    • Enrollment Forms & Tuition
    • Survey
  • Careers
  • Contact Us
    • Contact Admin
    • Contact IT Help
    • Visitors PreRegistration