Our Lady of the Valley Regional School Application for Enrollment PreK3-Grade 8
Our Lady of the Valley Regional School does not discriminate on the basis of race, color, religion, national or ethnic origin in the administration of its educational policies, admission policies or athletic and other school administered programs.
Sign in to Google to save your progress. Learn more
Email *
Child's Last Name *
Child's First Name *
Child's Middle Name *
Street Address *
Town *
State *
Zip Code *
Parent/Guardian Primary Phone Number *
Secondary Phone Number
Emergency Contact Name and Number *
Sex *
Place of Birth (Town and State) *
Date of Birth *
MM
/
DD
/
YYYY
Ethnicity (Is this student Hispanic or Latino?) *
What is the student's race (choose one or more) *
School Last Attended (if applicable) *
City/State *
Grade Last Attended *
Grade Entering at Time of Admission *
Date of Baptism
MM
/
DD
/
YYYY
Church, City, State
Date of First Communion
MM
/
DD
/
YYYY
Church, City, State
Name of Parent 1 (include maiden name if applicable) *
Address *
Name of Parent 2 (include maiden name if applicable) *
Address *
Parent 1 Occupation *
Parent 2 Occupation *
Parent 1 Religion *
Parent 2 Religion *
Parish *
Parent 1 Email Address *
Parent 2 Email Address *
Is the student related to an OLV alumna or alumnus? *
How did you hear about us? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Our Lady of the Valley Regional School.

Does this form look suspicious? Report