Providence Country Day Home Page
Admissions Request Information
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Online Inquiry Form

Thank you for your interest in Providence Country Day School. When you complete and send this form, we will send you a packet of information about our school, including a view book. If you have other questions or comments, let us know in the appropriate box below or send them via email to: admissions@providencecountryday.org.

Student's First Name:
Student's Last Name:
Gender:
M F
Person Making Inquiry:
Relationship to Student:
Information Recipient:
Parent Other
Title:
First Name:
Last Name:
I am interested in the following subjects.

Academics:
English
French
History
Latin
Math
Performing Arts
Science
Spanish
Visual Art

Athletics:
Baseball
Basketball
Cross Country
Fencing
Football
Hockey
Lacrosse
Sailing
Soccer
Tennis
Track and Field
Wrestling

Extracurricular:
Chess
Choir
Community Service
Creative Writing
Dance
Habitat for Humanity
Instrumental Ensemble
Journalism
Mock Trial
Model UN
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Home Phone:
Work Phone:
eMail Address:
Current School:
Students Birthdate (mm/dd/yyyy):
/ /
Entering What Grade:
Admission for what year:
How did you learn about PCD:
Other questions or comments:
660 Waterman Ave East Providence, Rhode Island 02914-1724 Tel: 401.438.5170 Fax: 401.435.4514 |Directions
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