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Request Information

Thank you for your interest in Wilbraham & Monson Academy. When you complete and send this form, we will send you a packet of information about our school. If you have other questions or comments, let us know in the appropriate box below or send them via email to:  admission@WMAnet.org.

Wilbraham & Monson On-line Inquiry Form
Student's First Name*
     
Student's Last Name*
     
Male/Female
   
Parent/Guardian Information
First Name*
     
Last Name*
     
Address Line 1*
     
City*
     
State*
   
Zip Code*
     
Country
     
Home Phone Number
     
Work Phone Number
     
Email Address*
     
Student's Date of Birth (mm/dd/yyyy)
     
Current School
     
Current Grade?*
     
Admission for what Grade?*
     
Admission for what year?*
Day School or Boarding?*
   
How did you learn about Wilbraham and Monson Academy?
   
Word of Mouth
WMA Student
WMA Faculty
WMA Alumni
Advertisement
Google/Web Search
Boarding School Review
Other:
What are your academic interests?
   
Center for Entrepreneurial & Global Studies
Math
Science
Writing
History
World Languages
Fine or Performing Arts
Technology
Other:
What are your Fine and Performing Arts interests?
Instrumental
Vocal
Visual Arts
Theater
Dance
What are your Athletic Interests?
Football
Soccer
Field Hockey
Cross Country
Volleyball
Water Polo
Basketball
Riflery
Skiing
Swimming
Wrestling
Baseball
Softball
Lacrosse
Golf
Tennis
Track
Comments
       
If you would like a copy of this submission, please put your email address in the field below.

Please Note: Questions marked with an asterisk (*) are required.




© 2010 Wilbraham & Monson Academy    423 Main Street, Wilbraham, MA 01095  |  413.596.6811  |  800.616.3659 |  413.599.1749 fax
A Coeducational Boarding and Day School for Grades Six Through Postgraduate
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