Permission Form
Print, complete, and return this form to us as soon as possible. Thank you!
Date:
Re:
Grade:
To whom it may concern:
The above named student has enrolled in the Notre Dame Learning Center in Rochester, New York. Please forward to us, as soon as possible, any pertinent information which would assist us in placing this student.
Please forward to:
Sister Lorraine Burns, SSND
Director, Notre Learning Center
P. O. Box 77175
Rochester, NY 14617
Should you have any questions, please contact us at 254-5110 or by e-mail.
I hereby authorize the sending of pertinent educational information regarding my child/children to the Notre Dame Learning Center at the address noted above.
Authorized Signature
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