WSM Application for Admission Fall 2023

WSM Application for Admission

Please fill out one form for each child applying to the school. There is a $200 non-refundable application fee for each application submitted. Applications will be kept on file for one calendar year.
Student Name

First NameLast Name
Age
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Place of Birth
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Level
School Last Attended
Parent/Guardian's Information
Parent/Guardian's Name - Primary

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Occupation
Parent/Guardian's Name - Secondary

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Occupation
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person

First NameLast Name
Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Background Information
Does the student have any other relatives who currently attend, have attended or have graduated from our school?

YESNO
How did you hear about us?
What are your educational goals for your child?
Please describe your child's educational experience thus far. What has been successful? What has been challenging?
Does your child have any special needs (educational, medical, or psychological)?
If the student have any allergies, please list them down below:
Does the student currently taking any medications? If yes, please list them down below:
Texas law requires us to collect current immunization records or a notarized immunization exemption form for each child in our care. Which will you be providing for your child?

Immunization RecordImmunization Exemption FormBoth
Anything else you'd like for us to know?
Non-Discrimination Policy
Wonder School Marfa admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities made available to students at the microschool. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship, and other microschool-administered programs.
Parent/Guardian Signature
Date Signed

MonthDayYear
Date
Should be Empty:

WSM Application for Admission

Parent/Guardian's Information

Background Information