Western Academy

Inquiry

indicates required fields

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. If you do not see any available tour dates on the online tour calendar, please email Jessica Joseph at jessica.joseph@westernacademy.net to be placed on a call-back list should a tour slot become available.

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

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

SMS Opt In By selecting yes, you are agreeing to receive SMS text messages from Western Academy. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-833-572-0304.

Yes No

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?