Request Information

Let Al-aqsa Islamic School know that you are interested in learning about their school. Provide your information below to request this school's viewbook and application. Your request will typically be processed within 24 hours. If you have more specific questions for this school, please use our Email Schools form instead.

Notes for Prospective Students

birth certificate, social security card immunization record report card from previous school $200 registration & book fee double monthly payment the end of August; the rest spread over 9 months

Student Information

Email:

Name of parent:

Student first name:

Student last name:

Student date of birth:

Student is:

Male

Female

Currently in grade:

Seeking entry for grade:

Target start date:

About the Student

Please briefly describe academic, athletic, and extracurricular interests of the student:

Address and Telephone Number

Home address:

City:

Country:

State:

Zip: (enter "N/A" if not applicable)

Phone:

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