Western Academy

Prospective Student's Information

Son's Name

First

Middle

Last

Preferred Name

Gender

Male

Date of Birth

mm/dd/yyyy

School Type

Current School

Current Grade

Entering Grade

For Academic Year

Request a Tour of the School

Answering "yes" below will take you to a live online tour calendar where you can book your own tour. NOTE: If you do not see open dates in the online tour calendar this is because none are currently available. If you would like to be placed on a call-back list should a tour slot open-up, please: 1) Complete the form and answer "no" to the tour question. 2) Email Jessica Joseph at jessica.joseph@westernacademy.net

We offer a limited number of private tours during the academic year. Would you like to book a tour?

Yes No

Please select:

Contact for this appointment

First Name

Last Name

Phone

Email

Parent Information

Your Full Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Son

Occupation

Employer

Are you married?

Yes No

Spouse's Information

Your Spouse's Full Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Son

Occupation

Employer

Siblings

Do you have another Son you are considering sending to Western Academy?

Yes No

Son's Name

First

Middle

Last

Suffix

Preferred Name

Relationship to Prospective Student

Date of Birth

mm/dd/yyyy

Current School

Current Grade

Entering Grade

In Fall of

Do you have another Son you are considering sending to Western Academy?

Yes No

Son's Name

First

Middle

Last

Suffix

Preferred Name

Relationship to Prospective Student

Date of Birth

mm/dd/yyyy

Current School

Current Grade

Entering Grade

In Fall of

How did you hear about Western Academy?

Contact Information

Please provide your current contact information.

Primary Email

Primary Phone Number

Type

Number

Home Address

Feel free to add any information you think we should know.

Why are you requesting a tour and/or considering sending your son(s) to Western Academy?