Online Application — Paynesville Word School

Student's Photo

Parent's Photo

First Name *

Middle Name

Last Name *

Student's Date of Birth

Student's Home Address

Mother's Name

Phone

Father's Name

Phone

Please provide at least one parent's name and phone number.

Last School Attended

Last School Address

Name of Principal

Phone

Name of Sponsor

Phone

Last Class

Class Promoted To

Name

Phone

Relationship

Home Address

Child's medical condition, if any

Food / medicine allergies

1. Name

Phone

Address

2. Name

Phone

Address

3. Name

Phone

Address

Attach what you have now — the school can request anything missing later. PDF, JPG, PNG or WEBP, up to 5MB each.

1. Report Card

2. Transcript

3. Letter of Recommendation

4. Birth Certificate

Additional Notes