Request an Admissions Packet

Please complete this form to receive an Admissions Packet containing important information and materials about Madison Country Day School. This form will accommodate one to four prospective students. If you have any questions or need assistance, please contact Jen Klug, Admissions Director, at 608-850-6375 or send an email to admissions@madisoncountryday.org.

Parent Information

Title
Mother Father Guardian
First Name
Last Name
E-mail
Phone Number
 - 
 - 
 x 
Preferred
by Phone    by E-mail

Address Information

Address
City
State
Zip Code

Additional Information

Yes, I would like to schedule a school tour for the:
Lower School    Middle School    High School

How did you first hear about us?
Word of Mouth    Newspaper   
Yellow Pages    Web Search

Please give us your questions, comments and suggestions: