Online Parent Form 2021-2022

How many children will you be enrolling? REQUIRED Please fill out this field.
Child 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.
- Grade
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Student identifies as REQUIRED American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Please fill out this field.
- Student identifies ethnically as REQUIRED Hispanic/ Latino/ Latinx Multi-ethnic Non-Hispanic/ Latino/ Latinx I choose not to provide this information Not specified Please fill out this field.
- Religion REQUIRED Baptist Catholic Christian Episcopalian Hindu Jewish Lutheran Methodist Muslim Other Please fill out this field.
- Parish or Church Please enter valid data.
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Student identifies as REQUIRED American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Please fill out this field.
- Student identifies ethnically as REQUIRED Hispanic/ Latino/ Latinx Multi-ethnic Non-Hispanic/ Latino/ Latinx I choose not to provide this information Not specified Please fill out this field.
- Religion REQUIRED Baptist Catholic Christian Episcopalian Hindu Jewish Lutheran Methodist Muslim Other Please fill out this field.
- Parish or Church Please enter valid data.
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Student identifies as REQUIRED American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Please fill out this field.
- Student identifies ethnically as REQUIRED Hispanic/ Latino/ Latinx Multi-ethnic Non-Hispanic/ Latino/ Latinx I choose not to provide this information Not specified Please fill out this field.
- Religion REQUIRED Baptist Catholic Christian Episcopalian Hindu Jewish Lutheran Methodist Muslim Other Please fill out this field.
- Parish or Church Please enter valid data.
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Student identifies as REQUIRED American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Please fill out this field.
- Student identifies ethnically as REQUIRED Hispanic/ Latino/ Latinx Multi-ethnic Non-Hispanic/ Latino/ Latinx I choose not to provide this information Not specified Please fill out this field.
- Religion REQUIRED Baptist Catholic Christian Episcopalian Hindu Jewish Lutheran Methodist Muslim Other Please fill out this field.
- Parish or Church Please enter valid data.
Child 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Student identifies as REQUIRED American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Please fill out this field.
- Student identifies ethnically as REQUIRED Hispanic/ Latino/ Latinx Multi-ethnic Non-Hispanic/ Latino/ Latinx I choose not to provide this information Not specified Please fill out this field.
- Religion REQUIRED Baptist Catholic Christian Episcopalian Hindu Jewish Lutheran Methodist Muslim Other Please fill out this field.
- Parish or Church Please enter valid data.

Family Information

Child Lives with REQUIRED Mother Only Father Only Both Mother and Father Grandparent(s) Guardian Please fill out this field.

Please contact the office for special circumstances Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

Apartment Number 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.

Family Communication should be sent to:

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

Relationship REQUIRED Please fill out this field. Please enter valid data.

Preferred Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Preferred Email REQUIRED Please fill out this field. Please enter an email address.

Mother's Information

Mother's First and Last Name Please enter valid data.

Mother's Date of Birth Please enter a date.

Mother's Preferred Phone Number Please enter a phone number.

Mother's Email Please enter an email address.

Mother's Parish or Church or Place of Worship Please enter valid data.

Father's Information

Father's First and Last Name Please enter valid data.

Father's Date of Birth Please enter a date.

Father's Preferred Phone Number Please enter a phone number.

Father's Email Please enter an email address.

Father's Parish, Church, Place of Worship Please enter valid data.

Emergency Approved Pick Up and Contact Information REQUIRED Please fill out this field. Please enter valid data.

Name and Contact Information of Pediatrician REQUIRED Please fill out this field. Please enter valid data.

General Information

Do you consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes for OLL School and archdiocese of NY purposes of the Student named above by? REQUIRED I Agree I Do Not Agree Please fill out this field.

Do you also grant to the right to edit, use, and reuse said products for nonprofit purposes including use in print, on the internet, in social media and all other forms of media. REQUIRED I Agree I Do Not Agree Please fill out this field.

You can share our information with the Parent School Association (PSA) REQUIRED Yes No Please fill out this field.

Email to receive a copy of this information Please enter an email address.

Online Parent Form 2021-2022

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