Please complete the Application and Release Authorization below then print from your browser and sign where required. This form may be submitted by mail or in person to the school office, together with the appropriate certificates (see below).

 NOTRE DAME SCHOOL
33 E. Micheltorena St.
Santa Barbara, CA 93101
Application for Admission
2005-2006
Grade: 

For Office Use Only
#
Date rec'd 
Payment: cash check

APPLICATION

Student Information

 Last Name
 First 
  Middle
 Birthplace
  Birthdate
  Religion
 Home address
  City./Zip
 
 School presently attending
 Grade 
 Address, City State Zip
 

Family Information

 Present Parish - at which family is officially registered
  if "Other", note which		  Envelope # 
 Siblings at Notre Dame: Names, Grades 
 Student lives with: Both parents Father Mother Other 

Father

 Last NameFirst Name
 Address
City/State/Zip
 Phone # Martial Status
 Birthplace Religion 
 Employer Occupation 
Work Phone #

Mother

 Last NameFirst Name
 Address
City/State/Zip
 Phone # Martial Status
 Birthplace Religion 
 Employer Occupation 
Work Phone #

Sacramental Information
If your child is Catholic, please provide the following information along with
certificates of Baptism and First Eucharist.

Please give parish where he/she is attending Religious Education classes:
Parish  
Address

 

Baptism
date
 

 Church
Address 
City/State/Zip

(office use)
 Verification

First
Eucharist
date

  Church
Address 
City/State/Zip

 (office use)
 Verification


 
 

Parent/Guardian Signature______________________________________Date____________



RELEASE AUTHORIZATION



AUTHORIZATION FOR RELEASE OF SCHOOL RECORDS

 School Student Presently Attends

School Address

City/State/Zip Code


I hereby authorize the release to the below named school all school records, including grades, health records and any other developmental information regarding the below named pupil:

Name of student: 
Date of birth Grade

Parent/Guardian Signature____________________________________Date____________



 
 
 

Please send the above requested records to:

NOTRE DAME SCHOOL
33 E. MICHELTORENA ST.
SANTA BARBARA, CA 93101