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225 Danbury Road | Wilton, CT 06897 | Tel: 203-762-8100 | OLFAcademy.org
Student Registration Form: 2022-2023 Academic Year
Please refer to the complete list of 2022-2023 Tuition and Fees included as part of this form.
1. Insert and verify names and billing address. Make any necessary changes for returning students. Please complete all fields. Enter "N/A" if not applicable.
Mother's Information
Father's Information
Name
Mother's Information
Father's Information
Home Address
Mother's Information
Father's Information
City, State ZIP
Mother's Information
Father's Information
Cell Phone
Mother's Information
Father's Information
Work Phone
Mother's Information
Father's Information
Home Phone
Mother's Information
Father's Information
Email Address
Mother's Information
Father's Information
Preschool Child's Name(s)
Please check one:
Pre K-3
Please check one:
Pre K-4
Please check one:
2. Please complete the following student information.
Student's First Name
Students Last Name
Gender
Date of Birth
Grade Enrolling For
Student 1
Student's First Name
Students Last Name
Gender
Date of Birth
Grade Enrolling For
Student 2
Student's First Name
Students Last Name
Gender
Date of Birth
Grade Enrolling For
Student 3
Student's First Name
Students Last Name
Gender
Date of Birth
Grade Enrolling For
Student 4
Student's First Name
Students Last Name
Gender
Date of Birth
Grade Enrolling For
Student 5
Student's First Name
Students Last Name
Gender
Date of Birth
Grade Enrolling For
Race
*
Native American
Asian
Native Hawaii/Pacific Island
White
Black
Two or more races
Unknown
Religion
*
Catholic
Non-Catholic
3. Sign and pay your registration fee.
Students will be registered on a first come, first served basis. If your class has reached its capacity, your name will be entered onto our waiting list in the order in which it is received.
Choose Registration Fee
*
1 Current Student ($50.00)
2 Current Students ($100.00)
3 Current Students ($150.00)
4 Current Students ($200.00)
5 Current Students ($250.00)
1 New Student ($150.00)
2 New Students ($300.00)
3 New Students ($450.00)
4 New Students ($600.00)
5 New Students ($750.00)
Parent/Guardian Signature
*
clear
Parent/Guardian Name
*
Parent/Guardian Signature
clear
Parent/Guardian Name