Application Form

Online Application Form

Name of Eldest Child: *

First

Last

Name of Other Child: *

First

Last

Name of Other Child: *

First

Last

Name of Other Child: *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Name of Mother/Guardian: *

First

Last

Name of Father/ Guardian: *

First

Last

Student Lives with: *

Phone Number *

Email *

Please select the following: *

I will pay tuition in full before the start of school ($250 discount before May 15th, and $125 discount before August 1) I will pay via FACTS on the 5th of each month I will pay via FACTS on the 20th of each month I do not have a checking account and need to meet with the Principal

Comment *

I, the undersigned parent/guardian, request that my child be admitted to Our Lady of Lourdes School for the school year 2012-2013. I understand that Our Lady of Lourdes is a Catholic School that endeavors to provide an education that is permeated with the religious and moral values of the Roman Catholic Church.

As a member of the Our Lady of Lourdes School Community, I agree to the following conditions:
1. To ensure that my child participate in the sacramental life of the Church by regularly attending Mass on Sunday and Holy Days of Obligation and receiving the sacraments (Stewardship Families only).
2. To become familiar with, and adhere to, the contents of the Parent-Student Handbook and Calendar.
3. To abide by and support all rules and regulations of the school at all times.
4. I agree to the Service Hour and Fundraising Obligations.

By clicking "Submit" below, I am agreeing to all of the above.

Submit

Application (2012-2013)
File Size:	218 kb
File Type:	pdf

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Our Lady of Lourdes School 315 S. Eastman Ave. Los Angeles, CA 90063 Phone: (323) 526-3813 Fax: (323) 526-3814