MAPCDS

Thank you for Inquiring about The Madison Avenue Presbyterian Church Day School!

What questions can we answer?

How would you like us to reach out?

About the Student

Name

First

Middle

Last

Suffix

Preferred Name

Gender

Date of Birth

mm/dd/yyyy

Current Grade

Interested in Grade

Babies: 4 months - 11 months

Toddlers 12 months - 24 Months

for the Fall of

Current School

How many siblings does this student have?

Sibling 1 Name

First

Last

Sibling 1 Age

Current School

Sibling 2 Name

First

Last

Sibling 2 Age

Current School

Sibling 3 Name

First

Last

Sibling 3 Age

Current School

Sibling 4 Name

First

Last

Sibling 4 Age

Current School

If you would like to officially inquire on behalf of the siblings above, please fill out an inquiry form per child.

About the Parent/Guardian

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Primary Phone

Type

Number

Secondary Phone

Type

Number

Email

Mailing Address

Thanks for reaching out! Out of curiosity...

How did you hear about The Madison Avenue Presbyterian Church Day School?

Please specify

Referral Name

Consultant Name

Community Event