2020-2021 Online Application

Grade Selection REQUIRED Please fill out this field.

Student Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Middle Name Please enter valid data.
Birth date REQUIRED Please fill out this field. Please enter a date.
Country of Birth REQUIRED Please fill out this field. Please enter valid data.
Sex REQUIRED Please fill out this field.
Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Home Phone REQUIRED Please fill out this field. Please enter a phone number.
Public School District of Residence REQUIRED Please fill out this field. Please enter valid data.
Transportation home REQUIRED Please fill out this field.
Medical Information

Mother's Email REQUIRED Please fill out this field. Please enter an email address.

Father's Email Please enter an email address.

Other Email Please enter an email address.

Father's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Address Please enter valid data.
Address Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Cell Phone Number Please enter a phone number.
Home Phone Number Please enter a phone number.
Father's Religion Please enter valid data.

Mother's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Maiden Name Please enter valid data.
Address Please enter valid data.
Address Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Cell Phone Number Please enter a phone number.
Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Mother's Religion Please enter valid data.

Guardian Information

Are you registered in OLG Parish? Please enter valid data.

If not, what parish? Please enter valid data.

Verification of OLG Parish membership (For parish office staff use only)

Home Situation: Two biological parents Mother/Stepfather Father/Stepmother One Parent Parent separated or divorced Guardian Adoptive parents

In case of separation or divorce:
(copy of court order required)

Name and ages of other children in the family:

Language spoken at home if NOT English: Please enter valid data.

Ethnicity Please enter valid data.

Race Please enter valid data.

Sacramental Information:

Academic Information: