The Meadowbrook School | Admissions Application

Parent/Guardian and Household Contact Details
Parent/Guardian 1 Full Name

First NameLast Name
Relationship to Student
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian 2 Full Name

First NameLast Name
Relationship to Student (Guardian 2)
Email Address (Guardian 2)
example@example.com
Phone Number (Guardian 2)
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address (Guardian 2)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

Parent Questionnaire
What has sparked your interest in The Meadowbrook School and how do you see your child growing in The Meadowbrook School experience?
What are the first words that come to mind that best describe your child?
Learning support or accommodations needed
Student strengths and interests
If your child lives in more than one household, and/or has special living arrangements, and/or you have custodial information, please provide that information here.
Is there additional information that you would like The Meadowbrook School to know prior to your family interview?
Does your child have any Meadowbrook School Alumni relatives other than parents? If so, please tell us the alumnus/ae's name and graduation year.
Are any siblings applying or currently attending Meadowbrook School?

Emergency Contact
Emergency Contact Name

First NameMiddle NameLast Name
Relationship to Student
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Additional Contact Details
How did you hear about Meadowbrook School?
Certification and Typed Signature
I certify that the information provided in this application is accurate and complete, and that I have reviewed and agree to the school policies.
Typed Signature

First NameMiddle NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

$50.00 application fee

$50.00

Total

Admission Application