COURREGES ELEMENTARY SCHOOL

Directory Order Form

Dear Parents:

Courreges PTA is preparing a telephone directory and we would like your permission to include your child's address and telephone number.  The directory will include a staff roster along with a current class list of phone numbers and addresses.

Many parents and students have found this directory to be a very helpful tool.  Your children will be meeting new friends and you will want to have their phone numbers available.  Also, if your child is ill, or forgets an assignment, your child can contact a classmate.

All students will be included in the directory under the class list, however, we need your permission to print your child's address and phone number in the directory.  We encourage you to purchase a directory, but even if you don't, please let us include your child's address and phone number by returning the bottom portion of this letter.

Each directory will cost $2.50.  Some parents find it helpful to order more than one copy.  If you have any questions, please contact Maribeth Goldsby (714) 964-4334, Telephone Directory Chairperson.

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1. Please fill out a separate form for each child attending Courreges.

2. Please print legibly.

3. All forms must be signed by a parent in order to have your child's name and address included in the directory.

4. Please return this portion to your child's classroom by October 5, 2004.

Please Circle:

Please include my child's address and phone number in the directory :           Yes     No

Student Name:         _______________________________

Teacher:  ___________________  Grade: ___________  Room No.: _____________

Student Address:     ____________________________________________________

Telephone Number:  ________________________    Email Address: _____________

PARENT SIGNATURE: _________________________________________________

Number of Directories Ordered:  __________ x $2.50 = ________ (amount enclosed)

Please make checks payable to "COURREGES PTA"

Thank you for your support.