Transfer Registration Form

Student Information

Name

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Birthdate(Required)

U.S. Citizen(Required)

Ethnic Survey(Required)

Parents are(Required)

Religious Affiliation(Required)

Parish

Public School District(Required)

Other: Please Specify(Required)

Current School(Required)

Current Grade

Entering Grade at OLMA

Guidance Counselor Name

Guidance Counselor Email

Guidance Counselor Phone

Reason for Transfer(Required)

Primary Parent Contact

Relationship to Student(Required)

Name(Required)

Prefix First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone(Required)

Cell Phone(Required)

Email(Required)

Student Resides with this Parent/Guardian(Required)

Occupation(Required)

Name of Company(Required)

Title or Position

Business Telephone Number(Required)

Business Email

Parent Post Secondary School Education

Please indicate the two highest levels

School Name

Degree

Graduation Year

School Name

Degree

Graduation Year

Secondary Parent Contact

Relationship to Student(Required)

Parent/Guardian Status(Required)

Name(Required)

Prefix First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone(Required)

Cell Phone(Required)

Email(Required)

Student Resides with this Parent/Guardian(Required)

Occupation(Required)

Name of Company(Required)

Title or Position

Business Telephone Number(Required)

Business Email

Parent Post Secondary School Education

Please indicate the two highest levels

School Name

Degree

Graduation Year

School Name

Degree

Graduation Year

Emergency Contact

Please provide TWO emergency contacts, other than those already listed as Parents or Guardians.

Name(Required)

First Last

Home Phone(Required)

Cell Phone(Required)

Relationship to Student(Required)

Name(Required)

First Last

Home Phone(Required)

Cell Phone(Required)

Relationship to Student(Required)

Student Family Information

Name of Sibling

First Last

Age

Name of Sibling

First Last

Age

Name of Sibling

First Last

Age

Legacy Information

Family OLMA Alumna - Full Name

First Last

Maiden Name

Graduation Year

Relationship to Student

Other: Please Specify(Required)

Family OLMA Alumna - Full Name

First Last

Maiden Name

Graduation Year

Relationship to Student

Other: Please Specify(Required)

Media Consent and Release

I/We acknowledge that my/our daughter’s photo, image, and/or voice may be used in school news releases, school publications, OLMA’s website, social media platforms, school video, and other school publication or promotional material.(Required)

I agree

I do not agree

Pressing submit will redirect you to the FACTS tuition management page. Please create your account and process your payment of $650 to complete your daughter's registration.

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Our Lady of Mercy Academy

Admissions