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MCS Pre-Kindergarten Application Form

Required

Email Addressrequired
Student Namerequired
First Name
Last Name
Date of Birthrequired
Must contain a date in M/D/YYYY format
Parent Namerequired
First Name
Last Name
Physical Addressrequired
Contact phone number:required
Are one of the guardians of the child a resident of Norwich?
Is the student currently enrolled at the Marion Cross School Preschool?
Does the student have a diagnosed developmental delay(s) or disability **Please note, you will be required to provide documentation of the developmental delay or disability. All documents will be kept confidential.
Check any of the following boxes that may apply to your student *If you are uncertain if this applies to your student, please check the box and Mr. Gonyaw or Mr. Bagnato will follow up with you.required
Check any of the following boxes that may apply to your student *required
If you have any other comments or questions, please add them below.
Terms of Servicerequired