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Our Lady of the Assumption Reg Date: / / Family Registration 796 W 48th St, San Bernardino, CA 92407 909 882-2931 Last Name: First Name(s): Mailing Name (i.e. Mr. & Mrs. John Doe) Address: Add2: City:

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1. Individuals seeking admission to Our Lady of Form educational institution may need to fill out the Our Lady of Form registration form as part of the enrollment process.
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