Forms & Information

Back to School Forms   

In preparation for the new school year, St. Ambrose School asks parents to complete a series of required forms, they are linked here for your convenience. This digital process replaces most of the paper forms previously sent home for registration. There are a few forms that will still need to be filled out and then printed and signed. Please complete all required forms prior to Friday, August 11. Students will be unable to start classes until ALL required forms are completed. Thank you for helping us make a smooth transition into the 2023-2024 school year!

Required Forms:

1. Handbook Agreement Form- This form documents parent and student acknowledgement of the Ambrose Student/Parent Handbook and its content. The Student Parent Handbook serves as the primary starting point when issues or concerns arise throughout the year. If you have more than one student, please submit an individual agreement for each student.

          * Must be printed and signed*

Handbook agreement signature page


2. Media Release for Minors- You have the right to prohibit the use of your child’s name, picture and voice in school/parish/Diocesan media and may do so by completing the form below. Please read the options below carefully as you consider your decision and electronically sign this form for each child. If you do submit a form, we will assume that you give permission for all options listed on the form.

Media Release Form


3. HHU, Permission for Emergency Care & Extended Day Registration Form- This is required annually, and prior to the first day of school, for every student and provides an opportunity for parents to alert the school of any changes in a student’s medical conditions.

Without this form your child cannot be seen in the clinic for any reason.  The parent will be called as opposed to being treated by the nurse.

Health History Update


4. Commonwealth of Virginia School Entrance Form- new students and rising Kindergartners only.  Due prior to the first day of school.  The physical exam should be dated within the current calendar year.

          *must be printed and signed*

Commonwealth of Virginia School Entrance Form


Optional Forms:

1. Walker form- Please fill out this form if your child will be walking or biking home from school at any point during the school year.

Permission to Walk Home

2. Medication Authorization form- If your child uses over the counter or prescription medications and needs them during school hours, please fill out the following form.  Please note: over the counter medications do not require a physician’s signature.

*must be printed and signed*

Medication Authorization Form 2023

3. Epipen Action Plan with Authorization form- If your child has a life-threatening allergy with a prescription for an epipen as part of his/her allergy treatment, please fill out the form below.

*must be printed and signed*

Allergy and Anaphylaxis Care Plan 2023

4. Inhaler Authorization form- If your child needs to use an inhaler during school hours, please fill out the form below.

*must be printed and signed*

Inhaler Action Plan and Authrorization Form_2023

5. Hot Lunch Service by Wholesome Lunch Services – WLS delivers lunches from local vendors directly to schools. Each lunch is sealed and labeled with your child’s name, grade, teacher + dietary restrictions. You can order and pay directly through the WLS website.

Wholesome Lunch Services Website


Student Activities: 

For Application and Re-Registration forms, see the application forms page.

St. Ambrose Catholic School

3827 Woodburn Road, Annandale, VA 22003

Phone: 703-698-7171

Fax: 703-698-7170

St. Ambrose School admits students of any race, color, and national origin.

"Christ is everything to us" – St. Ambrose