Newton Public Schools
Early Childhood Preschool
Preschool Application for the 2012-2013 School Year
Child’s Name
Gender
Date of Birth
Parent/Guardian
Name/s
& Address
Phone/s
Email
Has a sibling attended NECP in the past?
Sibling Name:
Please RANK ORDER your schedule & location preference
Is your child presently receiving any therapeutic services (Speech Therapy, Occupational Therapy, Physical Therapy, etc..)?
Is there a history of therapeutic serivces (Speech Therapy, Occupational Therapy, Physical Therapy, etc..)?
How would you describe your child:
socially outgoing
prefers being alone
very quiet and shy
active
overly active
seems happy
stubborn
fussy
independent
sleeps well
restless at night/
has nightmares
any unusual behaviors
(head banging, rocking, etc.)
To Return the Application by US Mail:
Michael Thurm
100 Walnut Street
Newtonville, MA 02460
Phone: 617.559.6050
Fax: 617.559.6001
Office Hours: Mon-Fri 8:15-3:15
8:30-1:30 4 days/wk & 8:30-12:00 1 day/week at 100 Walnut Street
9:00-12:00 Monday-Friday at 100 Walnut Street/Education Center
9:00-12:00 Monday-Friday at 191 Pearl Street/Lincoln Eliot School
Check here if you are interested in having your child participate in our Lunch Bunch Program.