Wakefield Country Day School

Thank you for expressing your interest in our school. Our Admission Director, Lisa Cieplak, will be in touch with you after the Application Fee and Online Application have been received.


Online Inquiry Form

Applicant Information
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(98765)
(555-555-5555)
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Student Background
Additional Information
Applicant’s Passport Number:
Expiration Date:
Country of Citizenship
Country Postal Code:
US Emergency Contact Name, Address, and Phone #:
Child lives with:
Favorite subject(s) studied:
Favorite sports and after-school activities:
Describe any educational testing and results.
Describe any other testing and results.
Does the student have an IEP?
Describe any known allergies or medical issues
Student Essay - Tell us about yourself.
Family Information
(optional)
(optional)
(98765)
(555-555-5555)
(555-555-5555)
(optional)
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