Application | Our Lady of Refuge Catholic School

Below you will find the Our Lady of Refuge application for the 2019-2020 academic year.

Application Form

Our Lady of Refuge Catholic School 2019-2020 School Year

Applicant's Name:*
First Last
Grade Entering:
Birthday:
Gender:
- Male
- Female
Catholic:
- Yes
- No
Parish:
Baptism Date:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Father's Name:
Mother's Name:
Primary Contact Name:
Primary Contact Mobile Phone:
Primary Contact Work Phone:
Primary Contact Email:
Seconday Contact Name:
Secondary Contact Mobile Phone:
Secondary Contact Work Phone:
Secondary Contact Email:
Previous School Attended:
Does your child have any special needs? If so, please describe:
Siblings attending Our Lady of Refuge Catholic School:
Siblings attending Our Lady of Refuge Catholic School:
Other Siblings seeking admission in Our Lady of Refuge Catholic School:
Other Siblings seeking admission in Our Lady of Refuge Catholic School:
Are you Catholic?
Name of Parish you attend: