New Student Registration and Emergency Medical Authorization
New Student On-Line Registration:       Kindergarten - Grade 12
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What School Year will your student start at CCS?                                 *
 The School District your students are currently attending. *
What grade will student be entering Calvert Catholic Schools? *
Required
Student First Name *
Middle Name~                                                             Does not apply, write NA                                                                 *
Last Name *
Gender *
Birthdate *
Birth Place *
Ethnicity *
Required
Address *
City, State, Zip *
Resident County *
Required
Home Number *
Family Parish *
Required
Is Student Baptized? *
Required
Where Was Student Baptized?                          Does not apply, write NA in box *
Indicate the School District Student lives in
Will your child ride the bus? *
Required
If yes, Which bus? *
Required
Resident County: *
Required
 EMERGENCY MEDICAL AUTHORIZATION
I Hereby Give Consent For The Following Medical Care Providers And Local Hospital To Be Called
Student Emergency Treatment:  I want my Child to be transported to following hospital *
 Student Doctor Information
Student Dentist  Information
Mecial Specialist Name and Phone Information:  ~  Does not apply, write NA in box *
MEDICAL FOR SCHOOL INFORMATION
PLEASE list all  health problems or concerns (Example: asthma, diabetes, seizure disorder, heart condition etc.)
Please write Medical Alerts and Conditions below: ~     Does not apply, write NA in box *
Please list all Medications your student are currently taking: ~   Does not apply, write NA in box *
Please list any major illness, surgery, or injuries: ~    Does not apply, write NA in box *
Allergies List all (Example: food(s), bee sting, etc.) ~ Does not apply, write NA in box *
Has your child has been instructed by his/her Physician to use inhaler? *
Required
Authorization of Inhaler form is available at www.calverths.org. Please complete and return Inhaler forms to Calvert High School Office.
Parent Information
Mother First and Last Name: *
Mother Addess *
Required
Mother City, State and Zip *
Required
Mother Maiden Name                                 *
Mother Phone Number Home ~                                Does not apply, write NA in box *
Mother Cell Number ~                                             Does not apply, write NA in box *
Mother Work Number ~                                            Does not apply, write NA in box *
Mother Place of Employment~                           Does not apply, write NA in box *
Mother Occupation~                                          Does not apply, write NA in box *
Mother Primary Email ~                                         Does not apply, write NA in box *
Mother Work Email ~                                            
Status of Mother *
Required
Mother If Divorced: Custody Arrangements *
Required
Step Father Name
Step Father's Cell Number
Father First and Last Name *
Father Address ~                                                     Does not apply, write NA in box *
Father City State, Zip *
Required
Father Home Number~                                           Does not apply, write NA in box *
Father Place of Employment~                           Does not apply, write NA in box *
Father Occupation~                                          Does not apply, write NA in box *
Father Cell Number                                               Does not apply, write NA in box *
Father Work Number ~                                              Does not apply, write NA in box *
Father Primary Email ~                                          Does not apply, write NA in box *
Father Work Email ~                                          Does not apply, write NA in box
Status of Father *
Father If Divorced: Custody Arrangements *
Required
Step Mother First and Last Name
Step Mother Cell Number
Additional Emergency Contact Person
Relationship with student *
Contact Person Name:
Contact Person Home Number~ Does not apply, write NA in box
Contact Person Cell Number~                            Does not apply, write NA in box *
Contact Person Work Number~                         Does not apply, write NA in box *
Additional Information
I agree to allow Calvert Catholic Schools to transport my child for school field trips, events, and in case of emergency situations. *
I acknowledge that I am responsible for reading and understanding all school policies, procedures, and expectations as outlined in school handbooks and policy manuals. *
Policy Acknowledgement Agreement-Student-Parent Handbook-Technology Handbook-Athletic and Extracurricular Handbook-Safety Procedures Handbook
I will review the following documents and before and throughout the course of an academic year and note any updates in school policy. I am aware that these documents can be found on the school website under the "Information" dropdown menu. *
Updates and Revisions-Weekly Newsletter-Classroom Newsletters -SchoolMessenger Notifications -Etc.
I will review the above documents before the start of each academic year and note any changes in school policy. *
I agree to allow Calvert Catholic Schools to use photos / videos of my child to promote the school in various forms, including, but not limited to, the school website, school social media, local newspapers and publications, billboards, etc. *
Who is Responsible for Paying Tuition: *
Required
Do you wish to use SchoolMessenger Instant Alert System? *
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