PreK 3/4, K through Grade 8
Email: enrollment@olg1.org
Phone: 215-757-5287

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Opt-Out Form

- Admissions

This Opt-Out form is to be used to communicate that there has been a change in your family’s enrollment status. If there are life changes such as moving to a new home, please complete the opt-out form and contact Sue Herbert by phone 215-757-5287 or email sherbert@olg1.org. Please, if you are facing financial difficulties please communicate that and we will do our best to help you work through the situation.
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- Parent/Guardian 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.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Date REQUIRED Please fill out this field. Please enter a date.
- Student #1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- School student is transferring to Please enter valid data.
- Student #2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- School student is transferring to Please enter valid data.
- Reason for withdrawing
- pick one REQUIRED Moving Personal Finances Other (please explain) Please fill out this field.
- Please explain
Submit

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