NOTRE DAME HIGH SCHOOL
NOTRE DAME HIGH SCHOOL Member of the Middle States Association of Colleges and Secondary Schools 3417 Church Road, Easton, PA 18045 610 868-1431 Fax 610 868-6710 www.ndcrusaders.org Mario Lucrezi, Principal Tracey D. Andre, Assistant Principal Rev. Christopher S. Butera, Chaplain
Parent Portal Parent/Guardian Access Request Form In an effort to protect the confidentiality of student records, all parents/guardians who intend to utilize the parent portal must complete and return this form in person to the main office. For security purposes, a valid photo ID is required when you return the form.
Please Print Parent/Guardian Name: (One name per form)_______________________________________________________________ Last Name, First Name
Parent/Guardian Home Address: ____________________________________________________________________ City: _________________________________ State: ___ Zip:_______ Phone:( )________________ E-Mail Address: ________________________________________________________________
Student Name
Your Relationship with Student
Reside with Student (Yes or No)
Year of Graduation
I certify that all of the above information is true and I have legal authority to access the records of the student(s) listed above Signed_________________________________________________________________Date: __________________
Note: Please give us 48 hours to process this information.
N o t r e D a m e H i g h S c h o o l, I n c.
NOTRE DAME HIGH SCHOOL Member of the Middle States Association of Colleges and Secondary Schools 3417 Church Road, Easton, PA 18045 610 868-1431 Fax 610 868-6710 www.ndcrusaders.org Mario Lucrezi, Principal Tracey D. Andre, Assistant Principal Rev. Christopher S. Butera, Chaplain
N o t r e D a m e H i g h S c h o o l, I n c.
Parent Portal Parent/Guardian Access Request Form In an effort to protect the confidentiality of student records, all parents/guardians who intend to utilize the parent portal must complete and return this form in person to the main office. For security purposes, a valid photo ID is required when you return the form.
Please Print Parent/Guardian Name: (One name per form)_______________________________________________________________ Last Name, First Name
Parent/Guardian Home Address: ____________________________________________________________________ City: _________________________________ State: ___ Zip:_______ Phone:( )________________ E-Mail Address: ________________________________________________________________
Student Name
Your Relationship with Student
Reside with Student (Yes or No)
Year of Graduation
I certify that all of the above information is true and I have legal authority to access the records of the student(s) listed above Signed_________________________________________________________________Date: __________________
Note: Please give us 48 hours to process this information.
N o t r e D a m e H i g h S c h o o l, I n c.
NOTRE DAME HIGH SCHOOL Member of the Middle States Association of Colleges and Secondary Schools 3417 Church Road, Easton, PA 18045 610 868-1431 Fax 610 868-6710 www.ndcrusaders.org Mario Lucrezi, Principal Tracey D. Andre, Assistant Principal Rev. Christopher S. Butera, Chaplain
N o t r e D a m e H i g h S c h o o l, I n c.
