Application Form
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Email *
Student Name *
Student will enter grade? *
Gender *
Date of Birth *
Street Address *
City *
State *
Zip Code *
Last school attended (Optional)
How did you hear about us? *
Religion *
Parent/ Guardian 1 Name *
Parent/ Guardian 1 Email *
Parent/ Guardian 1 Phone Number *
Parent/ Guardian 1 Race/Ethnicity *
Parent/ Guardian 1 Religion *
Parent/ Guardian 1 Occupation *
Parent/ Guardian 1 Marital Status *
Parent/ Guardian 2 Name
Parent/ Guardian 2 Email
Parent/ Guardian 2 Phone Number
Parent/ Guardian 2 Race/Ethnicity
Parent/ Guardian 2 Religion
Parent/ Guardian 2 Occupation
Parent/ Guardian 2 Marital Status
Why are you interested in Our Lady of Lourdes School? *
Please share any additional information that you would like the admissions committee to consider when evaluating your application. *
A copy of your responses will be emailed to the address you provided.
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