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WAVERLY DIRECTORY
To be included, please fill out one form per family. Only list the child(ren) attending Waverly. If there is any information that you do not want to appear, just leave the line blank. You must fill out a new form each year to be included!
Please write clearly so we are able to get accurate information.
We really want to see everyone in the 2011-2012 directory.
It helps us all stay connected!
FAMILY LAST NAME:___________________________________________________________
ADDRESS:___________________________________________________ZIP:____________
MOM’S NAME:_________________________
DAD’S NAME:__________________________
HOME TELEPHONE NUMBER:____________________________________________________
MOM’S CELL PHONE NUMBER:___________________________________________________
DAD’S CELL PHONE NUMBER:___________________________________________________
Mom’s E-MAIL:_____________________________________________________________
Dad’s E-MAIL:______________________________________________________________
Other E-MAIL:______________________________________________________________
WAVERLY CHILD’S NAME:_______________________________________GRADE:_________
WAVERLY CHILD’S NAME:_______________________________________GRADE:_________
WAVERLY CHILD’S NAME:_______________________________________GRADE:_________
WAVERLY CHILD’S NAME:_______________________________________GRADE:_________
ANY ADDITIONAL ADDRESS/PHONE/E-MAIL TO BE INCLUDED IN DIRECTORY:
___________________________________________________________________________
___________________________________________________________________________
** Please return this form to school by Friday, October 7th. **
If you prefer you may e-mail this information to:
Beth Clark (PTA Volunteer) at
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Note: For Emailing, cut-and-paste the above form into an Email, or use one of the following forms:
WaverlyDirectory.doc
WaverlyDirectory.pdf
Contacts:
Beth Clark,
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