Preschool interest form

DPNC Nature Preschool Application Form

Nature Preschool at Coogan Farm: 162 Greenmanville Avenue, Mystic, CT 06355
Applications for new students are accepted at any time during the year, and are maintained on a waitlist for the year of projected entry. New student enrollment takes place in March, after current families have made their commitment for the following school year. New student enrollment is completed on a first-come, first serve basis, beginning with the waitlist of applicants.

Children must be three years of age by December 31^st to be admitted to the program for September. They must be toilet-trained and self-sufficient. A physical within one year is required, documented by a corresponding health record from the child’s physician.

Please visit https://dpnc.org/preschool/ for additional information regarding curriculum, schedule, tuition & fees, scholarships, and more.

Please contact Preschool Director Suzanne Burns with any questions regarding preschool enrollment at sburns@dpnc.org or 860.536.2856. All inquiries, applications and answers will remain confidential.
Child's full name
Child's current age
Child's birthdate

MonthDayYear
Date
Preferred start date (month and year)
Day preference

2 days (Tuesday & Thursday)3 days (Monday, Wednesday, & Friday)5 days (Monday-Friday)
Parent/guardian's full name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Are you a current DPNC member? (Note: Preschool is a benefit of membership; a current DPNC Family Membership is required at the time of enrollment.)

YesNo
Other information (special needs, health concerns, etc.)
Notes - hidden from form
Should be Empty:

DPNC Nature Preschool Application Form