Mount Olive Lutheran School Application
If applying for more than one student please fill out a second form.
First Name *
Student's
Your answer
Middle Name *
Student's
Your answer
Last Name *
Student's
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Date of Birth *
Your answer
Entering Grade *
What is your reason for applying to Mt. Olive Lutheran School *
Your answer
How did you hear about Mt. Olive? *
Please list the school your child most recently attended (1st-8th grade only)
Your answer
Has your child had any difficulty in school thus far? *
Please give a full explanation regarding any "yes" answer
Your answer
Does your child have any physical difficulties? *
Please give a full explanation regarding any "yes" answer
Your answer
Does your child require any special attention for learning difficulties? *
Please give a full explanation regarding any "yes" answer
Your answer
Has your child ever been retained in a grade? *
Please give a full explanation regarding any "yes" answer
Your answer
Has your child ever been promoted more than one grade in a year? *
Please give a full explanation regarding any "yes" answer
Your answer
Legal Guardian's First and Last Name *
Your answer
Legal Guardian's Contact Number *
***-***-****
Your answer
Legal Guardian's E-Mail *
Your answer
Additional Legal Guardian's First and Last Name
Your answer
Additional Legal Guardian's Contact Number
***-***-****
Your answer
Additional Legal Guardian's E-Mail
Your answer
Registration fee included with application *
K-8 $330 registration fee ($300 if submitted before April 15th) / Preschool $60 registration fee. The registration fee is nonrefundable unless the board of education declines enrollment.
I understand that my child's immunization records and health history forms are required for school entry. These forms may be turned in at any time or collected on Registration Night. *
Required
This information does not assure final enrollment, which is subject to the approval of the principal and the Board of Education. Children accepted are on a trial basis for one year. *
Required
Signature and Date *
signature indicates approval of all information on this application
Your answer
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