Saint Ambrose Catholic School Back to School ... - St. Ambrose School

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Saint Ambrose Catholic School Back to School Forms Checklist Please complete the following forms and return all of them to the front office by Monday, August 1, 2016 Extended Day Registration – Department of Social Services Child Registration Form Extended Day Parent Signature Page Waiver Information/Right to Object Confidential Student Health History Update 

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Commonwealth of Virginia School Entrance Health Form (MCH 213G) – required for all new students to Saint Ambrose School and those students entering Kindergarten. All 6 th grade students are required to have a proof of immunization for Tdap on file with school. MEDICATION AUTHORIZATION NOT FOR EPIPEN OR INHALER AUTHORIZATION (appendix F-6) INHALER AUTHORIZATION (appendix F-3) EPINEPHRINE AUTHORIZATION (appendix F-4) VIRGINIA ASTHMA ACTION PLAN

Permission for Emergency Care (appendix F-1) If applicable complete the Priority Carpool Application (one per carpool) and return as soon as your carpool is formed) Semester Pizza Order Form Semester Chick-fil-A Order Form Milk Order Form Please update your student’s Emergency Care Information through the Power School Parent Portal (see enclosed tri-fold flier) by August 1, 2016. The following informational handouts are provided for your reference. There is no need to return them.  School Arrival and Dismissal Diagram  Dress Code for 2016-2017  Extended Day Program Information

Please note that the 2016-17 School Calendar will be emailed once it is finalized. Thank you and have a happy and blessed summer!