Application of Admission

Child's Name (last, first, middle) is required.

Child's Date of Birth is required.

Today's date is required.

Gender

Male

Female

Gender is required.

Home address is required.

City is required.

State is required.

Zip Code is required.

Applying for which Program or Grade

This field is required.

Applying for Full or Part Time?

Full Time

Part Time

Please correct your Applying for Full or Part Time.

Has the applicant applied to Wicomico Day School before?

Yes

This field is required.

Present school/center is required.

Present grade/program is required.

Start date is required.

Family Information

Applicant lives with is required.

Parent 1

Parent/Guardian Name is required.

Relationship to applicant is required.

Occupation/Title is required.

Employer is required.

Home/Cell Phone is required.

Email is required.

Parent 2

Special Circumstances

To better understand your child's educational needs, has your child been diagnosed or suspected of having any physical, medical, emotional, psychological learning needs or disabilities?

Yes

This field is required.

Does your child have an IEP from the School Board?

Yes

This field is required.

Has your child ever been subject to disciplinary action, suspension, or dismissed from a school or center?

Yes

This field is required.

Are you applying for the admission of all children, younger than 8th grade, in your family?

Yes

This field is required.

Child Information

Family Information

Parent 1

Parent 2

Special Circumstances

Summer Camp

WDS Foundation

Application of Admission

Child Information

Family Information

Parent 1

Parent 2

Special Circumstances

Summer Camp

WDS Foundation

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Wicomico Day School

Wicomico Day School

Wicomico Day School

Wicomico Day School