Our Lady of Lourdes

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About the Student

Name

First

Middle

Last

Suffix

Preferred Name

Gender

Date of Birth

mm/dd/yyyy

Current Grade

Interested in Grade

Age requirements for ASCS Early Childhood Programs:

Pre K 3 - Age 3 by date of first attendance
Pre K 4 - Age 4 by August 31

Age requirements for ASCS Early Childhood Programs:

Kindergarten - Age 5 by August 31

For academic year

About the Parent/Guardian

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Primary Phone (xxx-xxx-xxxx)

Type

Number

Secondary Phone (xxx-xxx-xxxx)

Type

Number

Email

Mailing Address

Broadening Horizons

Academic Interests

Please specify

Athletic Interests

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Additional Information

Would you like to learn about financial aid?

Yes No

Does your child have an IEP/504?

Yes No

Current School

What are you looking for in applying/transferring to Our Lady of Lourdes?

Please specify

Are you considering any other schools?

Yes No

Do you mind sharing their names?

To which Church/Parish do you belong?

Please specify Church/Parish

Thanks for reaching out! Out of curiosity...

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How did you hear about Our Lady of Lourdes?

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