Start Enrollment Process Online

This enrollment form is for the Madison Early Childhood Center  If you are interested in another MDPS school please select the school from the menu on the districts homepage.  


MECC NEW STUDENT INFORMATION

 

Name:        

Birth Date:   

Home Address:   

Phone Number:  Secondary Phone Number:

Email Address of Parent/Guardian:

Does the student have a sibling attending MDPS schools of choice program? yes no   

Name of sibling:

School District of Home Address:  Name of Current School:

How did you hear about Madison District Public Schools?

Has the student been suspended from school within the last two school years? yes no

Has the student ever been expelled from school? yes no

Does this student have any special needs? yes no

Does the student have an I.E.P.? yes no

 

I understand that by typing my name I am signing this application. I certify all of the information provided above to be true and correct. I acknowledge and accept the policies and stipulations of the Madison District Schools. I understand false or incomplete information will result in the removal of the applicant from Madison Schools programs.

Full name of parent or guardian: Date:



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