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Child's/Children's Information

Child 1 Classroom:

Child 2 Classroom:

Child 3 Classroom:

Child 4 Classroom:

Mother's Information

First Name

Last Name

Mailing Address

City

State Zip

Phone Number

Email Address

Father's Information

Same Address as Mother

First Name

Last Name

Mailing Address

City

State Zip

Phone Number

Email

Would you like your information to appear in the student directory? Yes! I want my information to appear in the Small Friends Student Directory. I understand that this document will be distributed to parents of Small Friends and not for commercial use.
No, I do not want my information to appear in the student directory. Would you like to receive email updates including electronic newsletters? Yes! Please place me on the email "parent teachernetwork list." The best way to reach me is via:
Mother's Email
Father's Email
Both
No, I do not want to receive any information about the parent teacher network.

Thank you for taking the time to complete this form.

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