5th Grade Class of 2023

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Please fill out this form with the best contact information for you and your child. This will be kept confidential unless you choose to share (see your options below). Thank you! Be on the look out for email correspondence, facebook updates and website updates for information on 5th Grade "Events" and yearbook information.

Facebook Group: https://m.facebook.com/groups/300543743713305

Email: Yearbook2023@merrimacpta.org

Website: https://www.merrimacpta.org/home/5th-grade

Students Last Name *

Students First Name *

Your Email address *

Child's 5th Grade Teacher: *

Your Address *

Your Cell Phone Number *

GRADUATION GIFT: Please choose your Child’s T-shirt Size for their End of the Year Gift (You may choose to size up so its wearable in Middle School) *

ONE baby photo is needed for each student. Please email or upload to the google drive listed below. *

I will email the photo to: Yearbook2023@merrimacpta.org

I will upload the photo to the google drive: https://photos.app.goo.gl/BEEk7UKXXeuC6WUe7

Please contact me as I will need assistance with getting a photo to the yearbook committee.

Please ask your child... What is your favorite Merrimac Memory? This will be posted in the yearbook and in the end of the year slideshow. *

Please ask your child... What do you want to be when you grow up... What is your future occupation? This will be posted in the yearbook! *

Which FREE shirt would you like gifted for your child’s graduation t-shirts? *

Seneca Middle School Shirt (most popular)

Sachem Shirt

Did you join Merrimac's 5th Grade Remind Texts? (if not, please consider joining! Text @merrimac5t to 81010) *

Yes

Are you a part of Merrimac's 5th Grade Facebook Page? (if not, please consider joining! JOIN HERE: https://www.facebook.com/groups/1038737922889467/ *

Yes

You may select Multiple Answers... To whom may we share the above information with: *

5th Grade PTA Liaisons (Yearbook, gift giving...)

My Child's Class for a friendship List

DO NOT SHARE (please have all contact go through my child's classroom teacher)

Required

Do we have permission to include your child in the end-of-the-year slide show? This slide show includes photos of your child including but not limited to: spirit day photos, class pictures, 5th grade individual photos etc. The slideshow is shown in class and at graduation. It is also published/aired on Social media platforms, including but not limited to: Merrimac PTA’s YouTube channel, Facebook, Instagram and Twitter. Here is the YouTube channel for reference: https://m.youtube.com/channel/UCr9ikB3wi2mcrMputKj0oWQ *

Yes, you have my permission to use my child’s photo in the slideshow and on any/all social media platforms.

You DO NOT have my permission to include my child in the slideshow. I understand if my child is in a group photo, a smiley emoji will be placed on their face. I also understand that this slideshow is shown at graduation.

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