OLHCA 2020-2021 Intention to Enroll

Complete this pre-registration form to indicate your intention to enroll your child or children in the Academy for the 2020-2021 school year.

Parent/Guardian Email Address *

Preferred email address for updates from the Academy.

Parent/Guardian First Name *

Last Name *

Phone Number *

Street Address *

Please provide your mailing address.

City *

State *

Zip Code *

1st Child (First Name, Last Name; Date of Birth; Desired Entry Grade) *

2nd Child (First Name, Last Name; Date of Birth; Desired Entry Grade)

3rd Child (First Name, Last Name; Date of Birth; Desired Entry Grade)

4th Child (First Name, Last Name; Date of Birth; Desired Entry Grade)

5th Child (First Name, Last Name; Date of Birth; Desired Entry Grade)

Questions/Comments

(You may also enter information about additional children here.)

Signature *

Please print your name (First, Middle Initial, Last) to verify your registration.

Date *

Month

Day

Year

Leave this field blank

Our Lady Help of Christians Academy