EmailMe Form - Madera Directory 2012-13

Parent1 Name *
First Last
Parent1 Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Parent1 Email
Parent1 Home Phone
### - ### - ####
Parent1 Cell Phone
### - ### - ####
Parent2 Name
First Last
Parent2 Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

If address is the same as Parent1, please leave this field blank.
Parent2 Email
Parent2 Home Phone
### - ### - ####
Parent2 Cell Phone
### - ### - ####
**STUDENT INFORMATION:

Please complete the information for each child attending Madera this year.
Student1 Name *
First Last
Grade (Student 1)
Teacher1 *
Student2 Name
First Last
Grade (Student 3)
Teacher2
Student3 Name
First Last
Grade (Student 2)
Teacher3
Questions about the roster? Please e-mail nerissw@gmail.com
The "Paperless Blue Folder" option saves time and paper. Some forms will still come home in the folder, and reminders about all school-related information are included in the end-of-week electronic mailing. Check this box if you would like to participate in the "Paperless Blue Folder."
Yes! Sign me up and save some trees!