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  • Family Information
    • Family name REQUIRED Please fill out this field. Please enter valid data.
    • Father's name REQUIRED Please fill out this field. Please enter valid data.
    • Mother's name REQUIRED Please fill out this field. Please enter valid data.
    • Guardian's name Please enter valid data.
  • Contact information
    • Email address REQUIRED Please fill out this field. Please enter an email address.
    • Contact Cell 1 Maximum 12 characters Please enter valid data.
    • Contact Cell 2 Maximum 12 characters Please enter valid data.
    • Street address REQUIRED Please fill out this field. Please enter valid data.
    • City (if not Pasadena) Please enter valid data.
    • Zip REQUIRED Maximum 5 characters Please fill out this field. Please enter valid data.
  • Child 1
    • Child's name REQUIRED Please fill out this field. Please enter valid data.
    • Child's DOB REQUIRED Maximum 10 characters Please fill out this field. Please enter valid data.
    • Child's school REQUIRED Please fill out this field. Please enter valid data.
    • Child's grade REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
    • Sacrament Registration Eucharist 2nd Grade ($50 additional fee applies) Reconciliation 2nd ($50 additional fee applies) Confirmation 1st Year 9th Grade (No additional fee applies) Confirmation 2nd Year 10th Grade ($50 additional fee applies)
    • Medical or School concerns

      (please provide detailed information concerning any allergies, medical conditions or special learning situations)
  • Child 2
    • Child's name Please enter valid data.
    • Child's DOB Please enter valid data.
    • Child's school Please enter valid data.
    • Child's grade Maximum 2 characters Please enter valid data.
    • Sacrament Registration Eucharist 2nd Grade ($50 additional fee applies) Reconciliation 2nd Grade ($50 additional fee applies) Confirmation 1st Year (No additional fee applies) Confirmation 2nd Year ($50 additional fee applies)
    • Medical or School concerns

      (please provide detailed information concerning any allergies, medical conditions or special learning situations)
  • Child 3
    • Child's name Please enter valid data.
    • Child's DOB Please enter valid data.
    • Child's school Please enter valid data.
    • Child's grade Maximum 2 characters Please enter valid data.
    • Sacrament Registration Eucharist 2nd Grade ($50 additional fee applies) Reconciliation 2nd ($50 additional fee applies) Confirmation 1st Year (No additional fee applies) Confirmation 2nd Year ($50 additional fee applies)
    • Medical or School concerns

      (please provide detailed information concerning any allergies, medical conditions or special learning situations)
  • Child 4
    • Child's name Please enter valid data.
    • Child's DOB Maximum 10 characters Please enter valid data.
    • Child's school Please enter valid data.
    • Child's grade Maximum 2 characters Please enter valid data.
    • Sacrament Registration Eucharist 2nd Grade ($50 additional fee applies) Reconciliation 2nd Grade ($50 additional fee applies) Confirmation 1st Year (No additional fee applies) Confirmation 2nd Year ($50 additional fee applies)
    • Medical or School Concerns

      (please provide detailed information concerning any allergies, medical conditions or special learning situations)
  • Child 5
    • Child's name Please enter valid data.
    • Child's DOB Please enter valid data.
    • Child's school Please enter valid data.
    • Child's grade Maximum 2 characters Please enter valid data.
    • Sacrament Registration Eucharist 2nd Grade ($50 additional fee applies) Reconciliation 2nd Grade ($50 additional fee applies) Confirmation 1st Year (No additional fee applies) Confirmation 2nd Year ($50 additional fee applies)
    • Medical or School concerns

      (please provide detailed information concerning any allergies, medical conditions or special learning situations)
  • Other Information
    • Are there any custodial arrangements that we should be aware of?
    • I want to home school my child(ren) REQUIRED Yes No Please fill out this field.
    • Tuition Payment Options REQUIRED (Select One) Active contributor - Pay in full Active contributor - Installments via GiveCentral Non-Active Contributor - Pay in full Non-Active Contributor - Installments via GiveCentral Home study -- Pay in full Home Study - Installment if multiple children via GiveCentral OLC Program Teacher Half Scholarship Requested Full Scholarship Requested Please fill out this field.
    • Registered Member of OLC (Registration with the Parish is Required) REQUIRED Yes No Please fill out this field.

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