Skip Navigation

Request Information

Thank you for your interest in Our Lady of Perpetual Help!

Please fill out the form below, and our Admissions Office will contact you shortly to provide additional information regarding your request.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us?
    Details:

  • What are your main reasons for choosing a Catholic school? (Select all that apply)
    *

  • What specific qualities are you looking for in a school? (e.g., academic rigor, extracurricular activities, special programs)
    *

  • Please Note: We reserve the right to deny admission if we believe our school is not the right fit for your child. Students must complete an exam and test at grade level. We do not accept students with a history of behavior or attendance issues. Are there any additional comments or questions you would like to share?
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School

  • Does your child have any special needs or considerations? (e.g. learning disabilities or health concerns)
    * Yes   No

  • Has your child ever been tested for special services?
    * Yes   No

  • Does your child have an IEP or 504 Plan?
    * Yes   No
  •  
  • Is There Another Student?
    Yes No
  •