Medical Form - Nazareth Regional High School

This special event celebrates the achievements and legacy of our distinguished inductees, while also recognizing the continued growth of Nazareth Athletics. The Virtual Journal will be shared with attendees, alumni, families, and supporters as part of the evening’s program.

We are offering full-page Virtual Journal Ads for $250. This is a great opportunity to:
• Congratulate one of our Hall of Fame inductees
• Recognize a student-athlete or team
• Promote your business within the Nazareth community
Ad submissions can include a message, logo, or photos.

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PTO Dues

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Summer Bridge Program

Pay Registration Fee

Pay your Registration Fee via Credit Card or PayPal using the button below.

Call Ms. Michel at 718-763-1100 ext. 227 or email smichel@nazarethrhs.org with any questions.

Share Your Ideas With The PTO

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Instagram

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Photo Consent & Release Forms

Nazareth Regional High School Video Services Standard Release

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In consideration of value received, the receipt of which is hereby acknowledged, I hereby give Nazareth Regional High School , its legal representatives and assigns, and those acting with permission of Nazareth Regional High School or employees of Nazareth Regional High School, the right and permission to copy write and/or use, reuse and/or broadcast and republish still photographs, motion pictures, digital media, videotapes and/or associated or independent audio recordings of me, on reproductions thereof in color, or black and white made through any media, for any purpose whatsoever, including the use of any printed matter in conjunction therewith.

I hereby waive any right to inspect or approve the finished still photographs, motion pictures, digital media, videotapes and/or associated or independent audio recordings, or advertising copy or printed matter that may be used in conjunction therewith or to the eventual use that it might be applied.

I hereby release, discharge and agree to save harmless Nazareth Regional High School, its representatives, assigns, employees or any person or persons, corporation or corporations, acting under its permission or authority, or any person, persons, corporation or corporations, for whom it might be acting, including any firm publishing and/or distributing the finished product, in whole or in part, from and against any liability as a result of any distortion, blurring or alteration, optical illusion, or use in composite form, either intentionally or otherwise, that may occur or be produced in the taking, processing or reproduction of the finished product, its publication, distribution or broadcast. I hereby certify that I am under/over eighteen years of age and competent to contract in my own name in so far as the above is concerned. I have read the foregoing release, authorization and agreement, before affixing my signature below, and warrant that I fully understand the contents thereof. I hereby certify that I am the parent and/or guardian of

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a student under the age of eighteen years, and in consideration of value received, the receipt of which is hereby acknowledged, I hereby consent that all still photographs, motion pictures, digital media, videotapes and/or associated or independent audio recordings which have been, or are about to be made by Nazareth Regional High School may be used for the purposes set forth in original release hereinabove, signed by the student, with the same force and effect as if executed by me.

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Chromebook Acknowledgement of Receipt

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Student Name*

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Serial Number*

Peripherals*

Date Allocated*

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I agree to the following: I have read Nazareth Regional High School’s Student Handbook. I will follow all policies in the handbook at all times, while at school as well as outside of the school day. I understand I am responsible for any damage, vandalism, loss, or theft of the Chromebook, power adapter, cord, and accessories whether due to accident, neglect or intent. I will notify my teacher, technology support staff or administration in case of damage, theft, vandalism, and loss of device within 24 hours; further, I will file a report with the NYC Police Department in case of theft, vandalism, or loss of device within 48 hours. I understand my parent or guardian will be responsible for all fines associated with the damage of my Chromebook and power supply.

I agree to the following: I have read the Nazareth Regional High Schools Student Handbook. I will follow all policies and regulations included in the handbook at all times and will hold my child accountable to these policies and regulations. I understand that this Chromebook is designated for educational purposes and therefore my child’s violations of this agreement may be cause for the removal of his/her Chromebook privileges. I assume financial responsibility for any damage, vandalism, loss, or theft of the Chromebook, power adapter, cord, and accessories whether due to accident, neglect, or intent. Further, I understand that if my child accidentally or purposefully damages or breaks another student’s Chromebook, power adapter, cord, or accessories, I am financially responsible for all expenses related to repairs or replacement. I understand Worth Ave Group offers insurance at an additional cost, and purchasing insurance is optional. I will assume full responsibility for any harmful or illegal content on the Chromebooks and will monitor my child’s use of the device at home. I understand that the Chromebooks are School-owned devices and all content stored on the Chromebook is subject to review at any time. I accept these responsibilities when I accept a Chromebook from Nazareth Regional High School.

Student Signature*

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Parent Signature*

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Chromebook Acknowledgement of Continued Ownership

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Student Name*

First Last

Graduating Year*

Brand/Model*

Serial Number*

Peripherals*

Date Allocated*

Email*

Password*

I agree to the following: I have read Nazareth Regional High School’s Student Handbook. I will follow all policies in this handbook, while at school as well as outside of the school day. I understand I am responsible for any damage, vandalism, loss, or theft of the Chromebook, power adapter, cord, and accessories whether due to accident, neglect or intent. I will notify my teacher, technology support staff or administration in case of damage, theft, vandalism, and loss of device within 24 hours; further, I will file a report with the NYC Police Department in case of theft, vandalism, or loss of device within 48 hours. I understand my parent or guardian will be responsible for all fines associated with the damage of my Chromebook and power supply.

I agree to the following: I have read the Nazareth Regional High School’s Student Handbook. I will follow all policies and regulations included in the handbook at all times and will hold my child accountable to these policies and regulations. I understand that this Chromebook is designated for educational purposes and therefore my child’s violations of this agreement may be cause for the removal of his/her Chromebook privileges. I assume financial responsibility for any damage, vandalism, loss, or theft of the Chromebook, power adapter, cord, and accessories whether due to accident, neglect, or intent. Further, I understand that if my child accidentally or purposefully damages or breaks another student’s Chromebook, power adapter, cord, or accessories, I am financially responsible for all expenses related to repairs or replacement. I understand Worth Ave Group offers insurance at an additional cost, and purchasing insurance is optional. I will assume full responsibility for any harmful or illegal content on the Chromebooks and will monitor my child’s use of the device at home. I understand that the Chromebooks are School-owned devices and all content stored on the Chromebook is subject to review at any time. I accept these responsibilities when I accept a Chromebook from Nazareth Regional High School.

Student Signature*

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Parent Signature*

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Student Handbook Agreement Form

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Name

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I have read the Student Handbook and agree to abide by the rules and policies of the school.

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Release Record Form

September 2020

Dear Parent/Guardian,

I would like to call your attention to the following procedure. Any student requesting the release of his/her academic records, which is necessary in order to complete his/her application to any college, must return a signed release form to the Guidance Office.

Please feel free to call me if you have any questions about this, or about anything to do with the college application process. I look forward to working with your child as he/she applies to college and welcome the opportunity to talk with you either on the phone or in person.

Sincerely,
Joanna Dove
Guidance Counselor/ext. 246

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Name*

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Year of Graduation*

I give permission for Nazareth Regional High School to release my son/daughter's academic records. This includes his/her transcript(s) and/or SAT/ACT scores.

Parent/Guardian Signature*

Date*

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Medical Form

Click Here to Download/Print Medical Form

medicalform

Dress Code

Students will be allowed to wear polo shirts every day, Monday through Friday. The polo shirts MUST be purchased from Nazareth’s approved vendor with the Nazareth logo on the upper left of the chest, in the available colors of maroon, grey, and pink. Polo shirts may not be tied or knotted to appear more tightly fitted.

Students may also wear a Nazareth logo crewneck, available in maroon and black. Pants, skirts, and footwear can be purchased from the vendor of your choosing, if they adhere to the guidelines below.

Using this order form to purchase uniform in bulk will result in savings on uniform pieces. We may have some extra items in various sizes available throughout the year for replacement pieces, at a slightly higher cost of an additional $5 per item in between order forms.

Pants Uniform Policy

To maintain a respectful and unified school appearance, students at Nazareth Regional High School are expected to wear uniform-appropriate pants that meet the following guidelines:

Permitted Colors

Pants must be solid black or khaki only.
No patterns, prints, logos, or embellishments allowed.

Approved Style & Fit

Pants must be traditional dress pants or uniform chinos.
Pants must be worn at the waist with a belt. No sagging.
Pants must have a straight or classic fit — no tight, skinny, flared, or baggy cuts.

Not Permitted

No jeans, denim, or jeggings.
No leggings, yoga pants, or spandex/stretch materials.
No cut-outs, tears, slits, or frayed hems.
No cargo pants, joggers, sweatpants, track pants, or athletic wear.
No form-fitting or overly baggy pants.
No pants with visible branding, stripes, or decorations.

General Appearance

Pants must be clean, properly hemmed, and in good condition.
Undergarments must not be visible at any time.
Pants should allow for ease of movement without being overly tight or revealing.

Students who arrive at school in pants that do not meet these expectations will be asked to change or be sent home. Final decisions regarding appropriate dress will be made at the discretion of the Dean of Students or Administration.

Skirt Uniform Policy

As part of the Nazareth Regional High School uniform, students who choose to wear skirts must adhere to the following guidelines to maintain a respectful, modest, and appropriate school environment:

Color: Skirts must be solid black or khaki only. No patterns, stripes, or embellishments are permitted.
Length: Skirts must be worn at a modest length, falling no shorter than two inches above the knee when standing. Skirts that ride up while walking or sitting are not permitted.
Material: Skirts must be made of structured, non-stretch fabric. Spandex, Lycra, or any clingy, fitted material is not allowed.
Style:
- Skirts must not have slits, cut-outs, sheer panels, or frayed hems.
- Skirts must not be form-fitting and should allow for ease of movement.
- Pleated or A-line skirts are acceptable if they meet the above requirements.
Fit & Waistline: Skirts must be worn at the natural waistline and should not be rolled at the waistband to shorten length.
Undergarments: Appropriate undergarments must be worn beneath skirts. Shorts or tights are strongly recommended for additional coverage and comfort.

Any student wearing non-compliant skirts will be asked to change or contact a parent/guardian for an appropriate pair. Final determinations on acceptable skirts will be made by the Dean of Students or School Administration.

Nazareth Regional High School – Uniform Shoe Policy

To maintain a professional and safe school environment, all students at Nazareth Regional High School are required to follow the guidelines below regarding footwear:

Approved Footwear

Students must wear all-black sneakers or school-appropriate shoes with a black sole.
Shoes may include a small logo or brand symbol in any color, but the overall appearance must remain black.
Acceptable styles include:
- All-black sneakers or athletic shoes.
- All-black loafers, slip-ons, or dress shoes.
- All-black uniform-style shoes with minimal detailing.

Not Permitted

No high heels, wedges, or platform shoes.
No boots above the ankle, including fashion or combat boots.
No open-toed shoes, sandals, flip-flops, slides, Crocs, slippers, or Ugg slip-ons.
No bright-colored soles, glitter, lights, or large visible logos.
No cleats, steel toes, or unsafe footwear.
No shoes with excessive accessories or distracting features.

Safety & Comfort

Footwear must be securely fastened at all times, including laces, straps, or secure slip-ons.
Shoes must be safe for daily movement, stairs, and emergency situations.
Students are required to wear socks or hosiery for hygiene and safety.

Any student wearing non-compliant footwear will be asked to change or contact a parent/guardian for an appropriate pair. Repeated violations may result in disciplinary action. Final determinations on acceptable footwear will be made by the Dean of Students or School Administration.

DRESS DOWN/DRESS UP

During the year, students are permitted to “dress down” and “dress up” for various occasions such as school trips and special events. The following policies pertain to acceptable attire that can be worn:

Jeans and non-uniform pants must be worn properly on the waist. No pajamas. Pants are to be worn at the waist. Shorts must be worn no more than 2” above the knee.
Sweaters, sweatshirts, blouses, and knit tops are permitted. No cut-off tops may be worn. No mid-riff skin may show, and tops cannot be low cut. There can be no distasteful expressions written on any clothing, as per the discretion of Administration.
No hats or head coverings of any kind are permitted.
No undergarments can be exposed.
Dress pants, skirts, dresses, blazers, dressy sweaters, shirts, or blouses may be worn if they are appropriate in length and size.

OTHER DRESS CODE REQUIREMENTS

Students are not permitted to wear unacceptable clothing at any time, including days when students are excused from wearing their uniform.
Headwear of any type may not be worn, including head scarfs and durags, in school, around the school premises, or at any extra-curricular events. Hats can and will be confiscated. A Nazareth headband or a plain, solid black headband no more than 2” wide can be worn.
Students are not permitted to wear jewelry or accessories that the school deems ostentatious and inappropriate. Such jewelry includes, but is not limited to, ornate neckwear, belt buckles, finger rings, and gold teeth.
Jackets and coats must be placed in the student’s locker at the beginning of the day and may not be worn in the classroom or around the school.
The school reserves the right to prohibit the wearing of any clothing that it considers objectionable, in poor taste, or offensive in any manner.

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Comments

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Student's Name*

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Gender*

Date of Birth*

Student Address*

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Current School*

Entering Grade*

Parent/Guardian's Name*

First Last

Parent/Guardian's Email*

Parent/Guardian Phone*

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Incoming 9th Graders

Before Applying

8th-grade students should take the TACHS Admissions Examination, indicating Nazareth Regional HS (Code 006) as their first, second, or third choice. For class scheduling purposes, applicants must also provide their 6th, 7th, and 8th-grade report cards and standardized test scores for review.

Nazareth RHS offers a TACHS preparatory course for this exam over a five-week Saturday morning schedule, preceding the examination in November, at a nominal fee.

Please contact Ms. Michel at (718) 763-1100 ext. 227 for test prep information.

Incoming 9th Grade

Here are your steps to becoming a Kingsmen for the class of 2024! Register for The Catholic High School Entrance Exam at www.tachsinfo.com (Cost $65).

Monday, August 24, 2020 – Registration for TACHS exam available at www.tachsinfo.com or by calling 1-866-618-2247

Friday, October 9, 2020 – Deadline for submitting request and supporting documentation to Diocese for extended testing time accomodation.

Friday, October 23, 2020 – Deadline for internet and telephone registration. No late registration or walk-in process this year.

Sunday, November 1, 2020 through Thursday, November 5, 2020 – Students will be provided with their session codes/dates/times. Call 1-866-618-2247 if you are not able to obtain your test session code.

Saturday, November 7, 2020 – TACHS Test

Wednesday, January 13, 2021 – High School Acceptances will be mailed out

For further information, please call Ms. Michel at (718) 763-1100 ext. 227.

Enrollment Checklist

Complete Application
Birth Certificate
Completed Health Forms – DOWNLOAD
Copy of Immunization Record
Financial Obligation Form
Letters of Recommendation
Registration Fee $400
Facts Tuition Application
Transcript/Current School Records

Transfer Students

An interview appointment must be made with the Director of Admissions; a parent/guardian must attend this meeting. Transfer students must present a school transcript, last report card, a letter of recommendation and a discipline report when attending this meeting.

Kindly call (718) 763-1100 ext. 227 to set up an appointment or fill out our form below for more information.

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Student Address*
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Parent/Guardian's Name*
First Last
Parent/Guardian's Email*

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Scholarship Opportunities

Nazareth Regional High School is committed to recognizing and supporting outstanding students through our scholarship programs.

Who is Eligible?

Scholarships are available only to incoming freshmen and are awarded based on:

TACHS exam resultsand middle school academic performance.
Nazareth’s Private Scholarship Exam(for students who did not take the TACHS test).

How to Apply

Students who did not take the TACHS exam can register for Nazareth’s Private Scholarship Exam, offered on April 8, 2025, by contacting:
Ms. Michel at 718-763-1100 ext.275, admissions@nazarethrhs.org

Exam Fee: $35 Required Documents: Students must bring their 6th, 7th, and 8th-grade report cards for scholarship consideration.

Nazareth Catholic High School Scholarship Program (“NAZ CARES”)

The NAZ CARES Scholarship Program was created to help Catholic elementary school students who wish to attend a Catholic high school but need financial assistance. Each year, the Principal of a Catholic middle school may nominate one student for this scholarship.

For more information about any of our scholarship opportunities, please reach out to our Admissions Office. We look forward to welcoming future Nazareth scholars!

Sample Programs

Sample Programs for our students year by year are as follows:

Freshman

Religion 9
English 9 or English 9 Honors
Global History I or AP Human Geography
Algebra 1 or Algebra 1 Honors
Living Environment or Living Environment Honors
Spanish I
Code Java
Physical Education
Music or Art

Sophomores

Religion 10
English 10 or Advanced Literature
Global History II or AP World History
Geometry or Geometry Honors and/or Algebra 2 or Algebra 2 Honors
Earth Science or Chemistry or Chemistry Honors or Physics
Spanish II
Health
AP Computer Science Principles, AP Computer Science A (elective)
Physical Education or Weight Training
Criminal Justice (elective)
Music II, Advanced Art, Fashion Design, Choir or Band (elective)

Juniors

Religion 11
English 11 or AP Language
US History or AP US History
Algebra II or Algebra 2 Honors and/or Pre-Calculus (Full Year) or Pre-
Calculus/Calculus and/or Statistics
Physics or Anatomy and Physiology or Earth Science or Chemistry or Forensic
Science or AP Environmental Science
Physical Education or Weight Training
Spanish III
Street Law (elective)
Psychology (elective)
Sociology (elective)
AP Computer Science Principles or AP Computer Science A (elective)
Music II, Advanced Art, Fashion Design, Choir or Band (elective)

Seniors

Religion 12
College Composition and Multi-Cultural Literature and/or Literature and
Film or AP English Literature
American Government and Economics
Pre-Calculus (Full Year), Pre-Calculus/Calculus, AP Calculus AB and/or
Statistics
Anatomy and Physiology or Forensic Science or Physics or AP Environmental
Science
AP Spanish Language
Physical Education or Weight Training
Psychology (elective)
Sociology (elective)
AP Computer Science Principles or AP Computer Science A (elective)
Music II, Advanced Art, Fashion Design, Choir or Band (elective)

Advanced Placement Options

Students can also earn credits based on their performance on AP exams in the following classes:

AP Calculus AB 4 credits
AP Computer Science A 3 credits
AP Computer Science Principles 3 credits
AP English Language 3 credits
AP English Literature 3 credits
AP Environmental Science 3 credits
AP Human Geography 3 credits
AP Spanish Language 3 credits
AP US History 3-6 credits
AP World History 3-6 credits

Grading Policy

Percent	Grade
90 - 100	A
80 - 89	B
70 - 79	C
<70	F

Nazareth uses a numeric system of grading with a range of 50% to 100%. Passing grade for all subjects is 70% or higher. Advanced Placement courses are weighted: the course grade is multiplied by 1.06 to determine both grade point average and class rank.

College Credit Options

Nazareth students have the opportunity to earn 50+ college credits through our partnerships with St. John’s University, St. Joseph’s College, and Long Island University. Successful students can transfer these credits to the college of their choice in most cases, thus starting ahead of other students when beginning their collegiate careers at campuses across the country.

Nazareth students can earn credits through enrollment in the following Nazareth classes:

College Composition 3 credits
AP English Literature 6 credits (in addition to credits earned on the exam)
Pre-Calculus 3 credits
Calculus I 4 credits
Calculus II 4 credits
Statistics I 3 credits
Statistics II 3 credits
Psychology 3 credits
Sociology 3 credits

Students can take classes on the campus of St. Joseph’s College. Possible classes include:

Foundations of Computer Programming Using Animation: 3 credits
Human Communication: 3 credits
Introduction to Human Inheritance: 3 credits

Nazareth students also have the opportunity to participate in the Long Island University Early College Scholars Program, which enables them to earn up to 30 credits by taking college courses on the campus of LIU Brooklyn. Courses are offered in Arts and Sciences, Education, Health Science and Technology.