Preschool Prospective Student Waitlist
Please fill out this form if you would like your child to be considered for enrollment in the North Middlesex Regional School District (NMRSD) preschool program at the Squannacook Early Childhood Center (SECC).  Completion of this form will automatically add your child to the preschool waitlist.  When space is available placement will be offered in the order requests are received through this form.  

Parents of prospective SECC preschool students will be asked to fill out an online registration if space becomes available for the student to register.  There is no need to fill out the online registration until contacted to do so.

Please note that this there is a registration fee and tuition for all students unless enrollment in the program is required as part of an approved IEP.
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Email *
Child's Name *
Please provide the child's full first and last name.
Child's Date of Birth *
MM
/
DD
/
YYYY
Special Education Needs *
Does your child have an active or pending IEP that includes enrollment in the district preschool program?
Number of Days Requested *
How many days per week would you like your child to attend preschool at SECC?
Days of the Week Preferred *
What weekdays would you prefer to have your child attend preschool at SECC?  (Note:  There are no PM classes on Thursdays.)
Required
Parent's Name *
Please provide you full first and last name.
Street Address *
City/Town of Residence *
Telephone Number *
No guarantee of enrollment *
Required
A copy of your responses will be emailed to the address you provided.
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