Our Lady of the Valley Regional School Application for Enrollment
PreK 3- Grade 8
Email address *
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?)
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What is the student's race (choose one or more)
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School Last Attended (if applicable)
City/State
Grade Last Attended
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Grade Entering at Time of Admission
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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?
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How did you hear about us?
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