Instructions:
For our records, please fill out the information below:
1)
Student Name:
2)
Home Address:
3)
Home Phone Number:
4)
Mother's Name:
5)
Mother's Work Phone / Mobile:
6)
Mother's Email:
Please note, to communicate by email, the appropriate
authorization form must be filled out in our front
office.
7)
Father's Name:
8)
Father's Work Phone / Mobile:
9)
Father's Email:
Please note, to communicate by email, the appropriate
authorization form must be filled out in our front
office.
10)
Any additional information you feel would be helpful for us to know
as it applies to our contacting you.
