Our Lady Help of Christians Academy

Online Pre-Enrollment Application

Complete this form in order to inform the Academy of your intention to enroll your child or children for the 2008-2009 Academic year. 
A full registration packet will be provided to you at the parent orientation on August 8th. 
Full registration forms may also be completed online or downloaded.

Please provide the following information about the child or children you wish to enroll:
(Should you have more than 6 children to enroll, please complete an additional form.)





1

Name (first, middle, last) Age Date of Birth (dd/mm/yy) Gender Intended Grade
Name (first, middle, last) Age Date of Birth (dd/mm/yy) Gender Intended Grade
Name (first, middle, last) Age Date of Birth (dd/mm/yy) Gender Intended Grade
Name (first, middle, last) Age Date of Birth (dd/mm/yy) Gender Intended Grade
Name (first, middle, last) Age Date of Birth (dd/mm/yy) Gender Intended Grade
Name (first, middle, last) Age Date of Birth (dd/mm/yy) Gender Intended Grade

Please provide the following parent information:

Father Name (first, middle, last) Mother Name (first, middle, last)    
   
Street Address City Zip Code  
 
Home Phone Cell Phone Other Phone Select one
E-mail Address Other E-mail Address    
   

Questions or comments?