notre dame

Medical/Insurance Information

Medical Insurance Information

  • To whom it may concern (Doctor, EMT, etc.,):
    Please be advised of the following medical conditions or allergies of which we feel you should be aware:
  • This form is to be in the possession of the sponsor/supervisor at all times during the activity. I,
  • , parent/guardian of
  • ive my permission for the sponsor/supervisor to contact emergency medical aid to help my child if deemed necessary.
  • I hereby give permission for my son/daughter
  • to be photographed or videotaped at Notre Dame Catholic School. I realize that the photo may be published in the newspaper, a magazine, the school website, or other publication. The video may be used for informational or educational purposes regarding the programs or curriculum at Notre Dame Catholic School.

Health Requirements and Medications: All students in pre-school, ninth grade, and new to the school are required to have a Medical Report form filled out by a physician on file at the school. Students must be current on all immunizations. Medical forms are also required of all students participating in athletics. Forms may be obtained from the campus office and must be returned completed by Orientation Day. Athletes will not be permitted to practice or play in a sport until the Medical/Physical form is on file at the school. The school does not cover students on school insurance. All students are required to have insurance information on file with the office.