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Homework Plus Registration 2025-2026

Homework PLUS Student Registration

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*Student’s First Name

*Grade

*Homeroom Teacher

*Student’s Last Name

School

*Teacher’s Email

Student’s Birth Date

*Mailing Address

*City

*State

*ZipCode

Parent/Guardian’s Phone Numbers:

*Cell

Work

*Parent/Guardian’s Email

Emergency Contact Information

*1st Contact First Name

*1st Contact Last Name

*Relation to the Student

*1st Contact’s Phone Numbers:

*1st Contact’s Cell

Work

*2nd Contact’s Phone Numbers:

*2nd Contact First Name

*2nd Contact Last Name

*Relation to the Student

*2nd Contact’s Cell

Work

*Please list all your child’s allergies

*If an emergency occurs, do we have your permission to take your child to the hospital?

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Yes

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No

Doctor’s Name

Doctor’s Phone

Preferred Hospital/Clinic

Parent/Guardian Authorization

Please check appropriate parent/guardian authorizations.

*If the persons listed above, or I cannot be reached in an emergency, I authorize the attending physician to administer proper and necessary treatment for the safety of my child.

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Yes

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No

I authorize NDUEC to use photographs or videos of my child and/or survey my child through interviews or questionnaires for publicity purpose or data collection.

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Yes

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No

I authorize NDUEC to review and use my child’s interims, report cards, and MAP testing scores in assisting my child’s educational growth.

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Yes

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No

–Select–

I authorize my child to be picked up

by

Relationship to my child

In the event that neither I nor the alternate contact listed above can be reached in an emergency, I authorize the attending physician to administer proper and necessary treatment for the safety of my child.

*Parent/Guardian Signature

*Print Parent/Guardian name

Date

The Sisters of Notre Dame

Consecrated women missioned to proclaim God’s goodness and provident care by living Gospel values in communities, by promoting Catholic education for women and children in urban and mission schools, and by fostering the fullness of life, especially for people who are poor, sick and aged.

Our Center

NDUEC is a sponsored institution of the Sisters of Notre Dame in the USA. Nearly 50-60 children attend our programs each day. Students benefit from enhanced self-esteem, improved social skills, and appropriate education.

Contact Info

Notre Dame Urban Education Center
PHONE: +1.859.261.4487
14 East 8th St.
Covington KY 41011

info@nduec.org

Registration Packets/Resources

Homework PLUS Registration Packet

Early Learning Registration Packet

Summer Academics Registration Packet

Newsletters and Reports