Boarding School - Request Admission Information

Request Admission Information

To receive an information packet from Wayland Academy, please fill out the information below and you will hear from us within one business day.

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Request Information:

Student's First Name:

Student's Last Name:

Student's Grade for 2007-2008 School Year:

Student's Birthdate

Street Address:

City:

State:

Zip Code:

Phone Number:

10.

Email:

11.

Name of current school:

12.

Person completing this form:

13.

Parent/Guardian Name:

14.

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Wayland Academy
101 North University Avenue
Beaver Dam, WI 53916
U.S.A.

Admissions - (800) 860-7725
General Info - (920) 885-3373
Fax - (920) 887-3373