ECP Waitlist
Please complete an individual form per child. We will flag both children based on the first time stamp. Once we call off the waitlist, parents will have 48 hours to respond before we move on to the next child on the waitlist.
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Email *
Child Last Name *
Child First Name *
Child's birthdate (Must be between 9/01/17 and 8/31/19) *
School 1st Choice *
School 2nd Choice *
School 3rd Choice *
School 4th Choice *
School 5th Choice *
Does Your Child Have an IEP? *
Please choose a Program Option *
Does your child need financial assistance?
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Parents Name *
Contact Phone Number *
Are you a current Madison Employee? *
Additional Comments----Sibling enrollment at Madison(list grade and school), custody paperwork, medical/allergy concerns, developmental concerns etc
A copy of your responses will be emailed to the address you provided.
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