The Providence Country Day School

Thank you for your interest in the Providence Country Day School! Please complete the following form so we can get to know you better.

About the Student

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Middle

Last

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Date of Birth

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Current Grade

Current School

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Grade of Interest

Year of Interest

Is this student an international student?

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About the Parent/Guardian

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Title

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Middle

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If none of the options listed below feel like an accurate description of the relationship, please contact the Admissions Office at 401-438-5170 so we can correct the information.

Relationship to Student

Home Phone

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Mailing Address

Second Parent or Guardian in Primary Household

Is there a second parent or legal guardian in this household?

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Name

Title

First

Middle

Last

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Preferred Name

If none of the options listed below feel like an accurate description of the relationship, please contact the Admissions Office at 401-438-5170 so we can correct the information.

Relationship to Student

Home Phone

Cell Phone

Email Address

Additional Guardianship Information

Does the student have an additional household with legal guardianship?

Yes No

Additional Home Address

Primary Parent or Guardian in Household

Name

Title

First

Middle

Last

Suffix

Preferred Name

If none of the options listed below feel like an accurate description of the relationship, please contact the Admissions Office at 401-438-5170 so we can correct the information.

Relationship to Student

Home Phone

Cell Phone

Email Address

Second Parent or Guardian in Household

Is there a second parent or legal guardian in this household?

Yes No

Name

Title

First

Middle

Last

Suffix

Preferred Name

If none of the options listed below feel like an accurate description of the relationship, please contact the Admissions Office at 401-438-5170 so we can correct the information.

Relationship to Student

Home Phone

Cell Phone

Email Address

How can we help you today?

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Visit Campus

The Admissions Team will be in touch soon to assist in scheduling your visit.

Schedules permitting, is there a faculty member, coach, or other community member that you are interested in connecting with while you are on campus?

Affording our School

For more information regarding tuition and financial assistance, please visit the Providence Country Day website.

Attend our Fall Open House

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Contact for this appointment

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Attend our Winter Open House

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Interests

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Thanks for reaching out! Out of curiosity...

How did you hear about The Providence Country Day School?

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