OLCA Application • Oasis of Love Fellowship

1st Student's Full Name *

Date of Birth *

School Grade *

2nd Student's Full Name

Date of Birth

School Grade

Father's/Guardian's Name *

Mother's/Guardian's Name *

Who's name should be on the account, primarily responsible for the tuition payment? *

Home Address *

Email address for invoices *

Telephone numbers where parents may be reached the easiest:

Father's: *

Mother's *

Guardian's:

Relative's

Electronic Signature: *

Has your child attended public school? *

School Attended/Dates:

Has this child ever been suspended?

Has this child ever been Expelled?

Ever failed a grade, or was held back?

Ever missed a block of school because of Covid restrictions?

If any of the above were marked "yes," please give an explanation:

Has this child ever been classified with any learning disability? *

If "yes," explain:

Does the child have any medical issues (including but not limited to allergies) that would be concerning at the school? *

If "yes," explain:

Does the child/family attend church? *

If "yes", Name of church:

Pastor:

Church Phone #:

Please give a brief statement as to why you would like to have your student/students attend Oasis of Love Christian Academy: *

Is there anything else that you feel we need to know so that this can be a successful school year?

Student's Name

Date of Birth

Has student had any schooling?

If "yes," where?

Is your child fully potty trained?

Does the student have a history of bullying, fighting or biting?