23-24 School Registration

Medical Information
Doctor

First NameLast Name
Physician's Phone Number
Please enter a valid phone number.
Dentist

First NameLast Name
Dentist Phone Number
Please enter a valid phone number.
Student has Allergies?*
Student severity of allergies?
Student takes prescribed medications?*
List all medications here
Has your child ever been tested or evaluated for any disability (learning disability, attention deficit, emotional disability, behavior disability, speech/language, English as a second language, medical condition)*
If yes, please explain in detail.
In case of an accident or serious illness, I request the school to contact me. I also authorize the school to take emergency measures as necessary, including calling 911. The MEDICAL PROVIDEE AUTHORIZATION FORM FOR PRESCRIPTION MEDICATION SIGNED BY DOCTOR AND PARENT MUST ACCOMPANY MEDICATION AND BE TURNED INTO THE OFFICE.
Signature*

Clear
In the event of an Emergency, I give permission to transport my child to a hospital for Emergency Medical Treatment. I wish to be advised prior to any further treatment by the hosptal or doctor. In the event of an Emergeny, if you are unable to reach me, please contacat my EMERGENCY CONTACTS.
Signature*

Clear

Emergeny Contact Information:

Other adults who can take responsibility for my student if I(We) are not available.
Emergency Contact 1*

First NameLast Name
Relationship to student?*
Phone Number*
Please enter a valid phone number.
Add another emergency contact?

Student Acceptable Use Policy

Form 6161.2(a)
CLICK HERE TO REVIEW THE STUDENT ACCEPTABLE USE POLICY

I have read the rules for accepatbel online behavior, understand the rules, and agree to comply with the above stated rules. Should I violate the rules, I understand that I may lose privleges at the school/parish.

As the parent or legal guardian, I grant permission for my child to use the school technology and to access the network or computer services such as email, files, cloud storage, websites, and other internet resources used for educationalpurposes. I understand that all studetns use a filtered connection to the internet that is designed to protect them from inappropriate materials. I understand that no filter can catch 100% of these sites, but the school makes a good faith attempt in this area. I understad there could be disciplinary ation if the above named studetn does not follow the guidline set for acceptable use of th eschool technology.
Signature*

Clear

I agree to send the $100 tuition deposit, paid to St. Andrew Parish School, by February 28th, 2023 **There is a $200 tuition deposit cap per family** The tuition deposit is non refundable*
Thank you for filling out the St. Andrew Parish School 23-24 School Online Registration Form. You will be receiving a confirmation email to the email address listed on this form.

Summer mailings will go out with the following information:
- Tuition Agreement
- Milk Sign Up
- School Uniform
- Physical Form (must be completed and signed by physician)
- 23-24 School Calendar
- 23-24 Supply List
- Ready Set Goal Dates, Times and Sign Up Information
- Spartan Club Before and After Care Registration
- Athletic Registration Information
Should be Empty:

School Registration