Manhattan Day School Inquiry Form
Thank you for inquiring about Manhattan Day School! We are thrilled that you are considering MDS for your family.

Please complete an inquiry form so that we can learn more about your child. We hope to be in touch with you soon.

More information can be found on our website at https://www.manhattanday.org, which will offer a preview of what MDS is all about.

Year of Interest
What school year are you interested in?*

Personal Information
Parent/Guardian 1 Title*
Parent/Guardian 1 First Name*
Parent/Guardian 1 Last Name*

Parent/Guardian 1 Relationship to Applicant*
If you selected 'Other,' please describe your relationship to the applicant. *

Parent/Guardian 1 Email Address*
Parent/Guardian 1 Cell Phone*

Street Address*
Apartment

City*
State*
Zip Code*

Parent/Guardian 2 Title
Parent/Guardian 2 First Name
Parent/Guardian 2 Last Name

Parent/Guardian 2 Relationship to Applicant
If you selected 'Other,' please describe your relationship to the applicant.*

Parent/Guardian 2 Email Address
Parent/Guardian 2 Cell Phone

Student Information
Student's Legal First Name*

Student's Last Name*

Name student goes by*

Gender*

Birthday*

Current Grade

Current school child is attending (write "N/A" if not applicable)*

Grade Interested In*

Beyond the leveled and small group learning in our mainstream classrooms, we offer two additional program tracks for neurodiverse students:

Bridge Program: For students with language-based learning differences

Sha'ar Program: For students on the ASD spectrum

Would you like to learn more about our specialized programs?

Would you be interested in our van service from 1. East Side 2. Riverdale 3. Washington Heights?

Learning More
If you have other children, please enter the siblings' names, DOB, current school, and grades.

Are you affiliated with a synagogue? If so, who is your Rabbi?

Is there anything else you would like to share with us?