Our Lady of Malibu School

Application for Admission

Please print or type. Return completed application to Our Lady of Malibu School office.

Applicants are required to attach a copy of Birth Certificate, Baptismal Certificate, copy of most recent report card and a photo this application.

Applying for Grade _____

How did you hear about us? Have you toured our campus?

Student’s Name

Last First Middle Nickname

Date of Birth Birth City/State/Country __Male __Female

Age as of September 1, 2007* Present Grade _____ *Kindergarten students must be 5 by 9/1/07

Residence Address_____________________________________City__________________Zip________

Father/Guardian Name__________________________________________________________________

Last First

Birth Place _____________________ Religion____________________ Marital Status_________

Occupation_______________________________ Place of work _______________________________

Phone #_________________________ Home Address____________________________________

_________________________ Work _________________________ Cell

Mother/Guardian Name _________________________________________________________________

Last Maiden First

Birth Place _____________________ Religion ___________________ Marital Status ________

Occupation __________________________________ Place of work _______________________

Phone # __________________________ Home Address ___________________________________

___________________________ Work _________________________ Cell

If divorced, who has legal custody of the child applicant? ____________________________________

All Catholic applicants should attach a copy of Baptismal Certificate

Religious Affiliation Parish/Church

Baptism Date Church City & State

First Communion Date Church City & State

Parent/Guardian’s Signature Date

Thank you for applying to Our Lady of Malibu School.

Please answer the following questions to help us to get to know you and your child.

1. Why are you considering Our Lady of Malibu School for your child?

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2. What ways will you participate in the community life at the school?

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3. What would you like us to know about your child?

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