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Stough Elementary Student Directory Registry
Please do not submit this form more than 1 time.
Teacher
*
Please enter teachers name.
Students Grade
*
Please enter your child’s grade.
Child 1′s Last Name
*
Please enter your child’s last name.
Child 1′s First Name
*
Please enter the name your child is called at
school.
Custodial Parent’s Information
Please enter the information for the
custodial
parent(s)
Parent’s Last Name
*
Please enter the last name of the
custodial
parent. If more than
one name, i.e. husband’s last name is Smith and
wife’s last name is Jones, enter; Smith / Jones.
Parents First Name
*
Please enter the first names of the
custodial
parents. Please
separate names by ‘/’. i.e. John / Betty
Parent’s Phone
*
Please enter your home phone.
Parent’s Email Address
*
Please enter your email address’. If there is more
than one email, please separate by ‘/’ i.e.
JohnS@domain.com / BettyJ@domain.com
Parent’s Home Address
*
Enter
custodial
parent’s home
address. Leave blank if you do not wish to share
the address.
Parent’s Home City
*
Parent’s Home Zip Code
*
Non-custodial Parent(s) Information
Please enter the information for the
non-custodial
parent(s)
Parent’s Last Name
Please enter the last name of the
non-custodial
parent. If more
than one name, i.e. husband’s last name is Smith
and wife’s last name is Jones, enter; Smith /
Jones.
Parents First Name
Please enter the first names of the
non-custodial
parents. Please
separate names by ‘/’. i.e. John / Betty
Parent’s Phone
Please enter your home phone.
Parent’s Email Address
non-Custodial Parent: Please
enter your email address’. If there is more than
one email, please separate by ‘/’ i.e.
JohnS@domain.com / BettyJ@domain.com
Parent’s Home Address
Enter
non-custodial
parent’s home
address. Leave blank if you do not wish to share
the address.
Parent’s Home City
Parent’s Home Zip Code
Additional Children
Please enter any additional children you have attending Stough.
Enter 2nd Child’s Information: Grade/Teacher/Last
Name/First Name
Enter 3rd + Child’s Information:
Grade/Teacher/Child’s Last Name/Child’s First Name
Please enter each additional student on a separate
line.
Any other additional Information?
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