Norwalk Public School 2019-2020 School Readiness Wait List Application
Email address *
School Location Choice Option 1 *
Do you currently have a sibling attending this school? *
School Location Choice Option 2 *
Do you currently have a sibling attending this school? *
Student First Name *
Your answer
Student Last Name *
Your answer
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
Primary Guardian First Name *
Your answer
Primary Guardian Last Name *
Your answer
Norwalk Street Address *
Your answer
Unit or Apartment Number
Your answer
Zip code *
Your answer
Contact Phone Number *
Your answer
Other Contact Phone Number
Your answer
Household Size
Total Number of Adults & Children living at Address Entered Above
*
1-3
4
5
6
7
8
9
10
11
12
Over 12
Row 1
Insurance & Health Information *
Required
Estimated Family Annual Income
Proof of Income Required
*
Your answer
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