Newton Public Schools
Early Childhood Preschool

Preschool Application for the  2012-2013 School Year

Child’s Name

Gender

Date of Birth

Primary Language       



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:

  Yes/NoComments
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







Contact Information:
Michael Thurm
Director
Michael_Thurm@newton.
k12.ma.us

Michelle LeMay
Administrative Assistant
mailto:Michelle_LeMay@newton.
k12.ma.us

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.
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