Our Lady of Mercy Academy

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LIMITED  SPOTS  AVAILABLE  IN  SELECT  GRADES  -  CALL TODAY TO BECOME A MEMBER OF OUR SCHOOL

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2020/2021 Pre-K 3, Pre-K 4 & Kindergarten REGISTRATION

Please complete the form below. Required fields marked *

STUDENT INFORMATION

Sex*
Answer Required

Home Address

State*
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Ethnicity*
Answer Required
A copy of your child's Birth Certificate is required. You may upload a copy here:
Answer Required
or drag it here.

For the 2020-2021 school year we will offer the following options:

IF YOU ARE INTERESTED IN OUR PRE-K 3 OR KINDERGARTEN PROGRAM PLEASE CONTACT THE SCHOOL OFFICE AT 201.391-3838 AND DO NOT REGISTER USING THIS FORM.  THANK YOU.

 

YOU MAY USE THIS FOR TO REGISTER FOR OUR PRE-K 4 CLASSES.

Entry into Grade*
Answer Required
Address
State*
Answer Required

BAPTISM

if your child was not baptized, please enter n/a for the following selectoins.

State*
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If your child was Baptized, we will require a copy of the Certificate. You may upload it here:
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or drag it here.

PARENT INFORMATION

Ethnicity*
Answer Required

Business Address

State
Answer Required
Ethnicity*
Answer Required

Business Address

State
Answer Required

EMERGENCY CONTACT INFORMATION

In case of emergency and parent is not available, contact:

(please list two contacts OTHER THAN THE CHILD'S PARENTS)

PHYSICIAN INFORMATION

Allergies and other Medical Conditions
Answer Required
A copy of your child's most recent Universal Health Record provided by your Pediatrician is required. You may upload a copy here
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or drag it here.

PAYMENT INFORMATION

You have my permission to include my contact information on class lists for distribution*
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My choice of tuition plan is:*
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Grade as of 9/20*
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PICTURE USE POLICY

Occassionally we will use pictures and video of students both internally and externally in our advertisements and social media postings.  With the exception of yearbook photos, please choose your preferences below. Please be advised that we always use the utmost respect when sharing.  It is common for us to share children's class activities and achievements on Social Media and through Press Releases.

Please indicate your choice below:*
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PAYMENT INFORMATION

We realize at this difficult time, you may need to defer payment.  If this is the case, please complete the registration and send an email to our Tuition Manager, Melanie DePaola at MDepaola@olmacademy.org.t

Registration Fee*
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Technology Fee*
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Home School Association Dues
This fee is PER FAMILY. Please pay this amount with your first child registered only.
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Confirmation Email