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Our Lady of Lourdes Catholic School 2710 Overbrook Drive Raleigh NC 27608 Phone 919-782-1670 Fax 919-420-2188 APPLICATION FOR ADMISSION Date of Application Parish of Membership Grade in Fall 2016 Referred By Are you a graduate of OLLS Father Mother Student Name MaleFemale Last First Middle Address CityStateZip Subdivision Religion of Student Date of Birth Place of Birth Child lives with Check all that apply Father Mother Step Father Step Mother PARENT INFORMATION Father s Name Birth Place...

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