Do you prefer your contact info be included in school-wide directory, just your scholar's individual classroom directory, BOTH directories or none at all? *
1st Scholar's Name: (First and Last Name) *
Your answer
Which classroom is 1st scholar in? *
Required
2nd Scholar's Name: (First and Last Name), if applicable
Your answer
Which classroom is 2nd scholar in?
3rd Scholar's Name: (First and Last Name), if applicable
Your answer
Which classroom is 3rd scholar in, if applicable?
4th Scholar's Name: (First and Last Name), if applicable
Your answer
Which classroom is 4th scholar in, if applicable?
Relationship A to scholar(s): (Mom, Dad, Grandmother, Sister, Aunt, "Play Uncle", etc) *
Your answer
Relationship A: First and Last Name *
Your answer
Relationship A: Preferred phone number listed with area code (xxx.xxx.xxxx)
Your answer
Relationship A: Preferred email address listed
Your answer
Relationship A: FULL address
Your answer
Relationship A: City and State
Your answer
Relationship A: Zip code
Your answer
Relationship B to scholar(s): (Mom, Dad, Grandmother, Sister, Aunt, "Play Uncle", etc), if applicable.
Your answer
Relationship B: First and Last Name
Your answer
Relationship B: Preferred phone number listed with area code (xxx.xxx.xxxx)