Our Lady of the Valley Regional School Application for Enrollment
PreK 3- Grade 8
* Required
Email address
*
Your email
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Child's Middle Name
*
Your answer
Street Address
*
Your answer
Town
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Parent/Guardian Primary Phone Number
*
Your answer
Secondary Phone Number
Your answer
Emergency Contact Name and Number
*
Your answer
Sex
*
Male
Female
Place of Birth (Town and State)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Ethnicity (Is this student Hispanic or Latino?)
No, not Hispanic or Latino
Yes, Hispanic or Latino
What is the student's race (choose one or more)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
School Last Attended (if applicable)
Your answer
City/State
Your answer
Grade Last Attended
Prek
K
1
2
3
4
5
6
7
8
Grade Entering at Time of Admission
PreK3
PreK4
K
1
2
3
4
5
6
7
8
Date of Baptism
MM
/
DD
/
YYYY
Church, City, State
Your answer
Date of First Communion
MM
/
DD
/
YYYY
Church, City, State
Your answer
Name of Parent 1 (include maiden name if applicable)
Your answer
Address
Your answer
Name of Parent 2 (include maiden name if applicable)
Your answer
Address
Your answer
Parent 1 Occupation
Your answer
Parent 2 Occupation
Your answer
Parent 1 Religion
Your answer
Parent 2 Religion
Your answer
Parish
*
Saint Mary's, Uxbridge
Saint Patrick's, Whitinsville
Saint Peter's, Northbridge
Good Shepherd, Linwood
Saint Denis, Douglas
Sacred Heart, Milford
Saint Mary's, Milford
Other:
Parent 1 Email Address
Your answer
Parent 2 Email Address
Your answer
Is the student related to an OLV alumna or alumnus?
Yes
No
How did you hear about us?
personal reference
Parish bulletin/information
social media
web search
Other:
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