HIPPY Application 2021-2022
Requirements for application:  Students must be 2, 3, or 4 on or before September 1, 2021.  Students MUST reside within the Madison City School district.  A Preschool Readiness Assessment will be given to all students and acceptance into the program is based on academic need.
Sign in to Google to save your progress. Learn more
Child's First and Last Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Gender *
Has your child participated in HIPPY before? *
Is your child a sibiling of a current HIPPY student?
Clear selection
Parent/Guardian Name(s) *
Address (including city and zip code) *
Email address *
Child's Race/Ethnicity *
Guardian Primary Language *
Phone Number *
Check all services that you qualify for: *
Required
Which elementary school is your child zoned for? *
Please list any private programs your child has previously attended or is participating in at this time. *
Does your child receive Special Education Services or do you suspect a disability?
Clear selection
I understand that if my child is selected I will need to complete additional enrollment forms.  Type name below as signature & understanding of requirements. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MCBOE. Report Abuse
Google Forms