On-Line Registration Form -Part 1

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Student Name (Last, First, Middle) REQUIRED Please fill out this field. Please enter valid data.
Student Gender REQUIRED Boy Girl Please fill out this field.
Age REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter valid data.
Student Current Grade Level REQUIRED
Please select the answer that indicates your student's grade level currently.
Please fill out this field.
Student's Primary Address
Street 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.
Mailing Address (if different from above)
Street/P.O. Box Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
U.S. Citizen? REQUIRED Yes No Please fill out this field.
Primary Guardian (Mother, Father, Both parents, grandparent, etc.) REQUIRED Please fill out this field. Please enter valid data.
Guardian 1 Name: REQUIRED Please fill out this field. Please enter valid data.
Relationship to Child REQUIRED Please fill out this field.
Guardian's Marital Status REQUIRED Please fill out this field.
Email REQUIRED Please fill out this field. Please enter an email address.
Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Second Phone Number (e.g. work, etc.) Maximum 20 characters Please enter a phone number.
Please share what motivators attracted you to our school (check all that apply): REQUIRED Academic Excellence Faith-Based Curriculum Friends/Family Recommendations School Reputation Small Class Sizes Strong Moral Environment Student Safety Other Please fill out this field.
Additional comments you would like to share about your child and your choice for their education:

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On-Line Registration Form -Part 1

1st - 7th Grade
Transfer Students

Our Lady of the Gulf Catholic School
Application - Step 1