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Request an Admissions Packet
 

Please complete this form to receive an Admissions Packet containing important information and materials about Madison Country Day School. This form will accommodate one to four prospective students. If you have any questions or need assistance, please contact Jen Klug, Admissions Director, at 608-850-6375 or send an email to admissions@madisoncountryday.org.

 
PARENT INFORMATION
Title  
Mother Father Guardian
First Name     Last Name  
E-mail Address  
Phone Number  
 —   —     ext. 
Preferred Contact  
by Phone by E-mail
             
ADDRESS INFORMATION
Address  
City  
State     Zip Code  
             
ADDITIONAL INFORMATION
Yes, I would like to schedule a school tour for the:
   
Lower School Middle School Upper School
How did you first hear about us?
   
Word of Mouth Newspaper Yellow Pages Web Search
Please give us your questions, comments and suggestions: