Bloomfield Public Schools
WECMS
44 Brown Street
Bloomfield, CT  06002
Phone:  (860) 769-5510
Fax:  (860) 769-5525
Website:  www.wintonburymagnet.org
or www.bloomfieldschools.org

Wintonbury Early Childhood

Magnet School

(WECMS)

School Year 2010-2011

Application Deadline:  December 31, 2009

Must be received by
Thursday, December 31, 2009 at 4 pm.

Late applications will be accepted
but will be added to the waiting list.


STUDENT BASIC INFORMATION (yellow indicates a required field):

First Name:    Middle Name:       Last Name:    

Street Name: 

City:                   State:    Zip Code:    

Date of Birth:        Age of child as of September 2010:          


PARENT/LEGAL GUARDIAN BASIC INFORMATION:

Salutation:     Name:  

Home Phone:    Work Phone:    Cell Phone: 

Email: 

Grade applying for NEXT school year (Sept. 2010):       (this application is valid for this grade only)

Grade explanation:
Second Year Pre-Kindergarten is for students age 4 and up and will begin Kindergarten the next school year.
First Year Pre-Kindergarten is for students age 3 and up and will continue with Pre-School the next school year.

List the names and dates of birth of any siblings who are also applying to attend the Wintonbury Early Childhood Magnet School.  (REMINDER:  You must complete a separate application for each child.)

Name of Child Date of Birth

How did you learn about our school?:
        Please describe:   

I am applying for placement of my child at the Wintonbury Early Childhood Magnet School.  I understand that the information provided by me on this application will be checked for accuracy and that false information will disqualify the student.