Class/Grade Level Roster Request Form
Dear Parent/Guardian,

Each teacher is requesting some personal information for our class roster. We encourage all parents to submit this info as it makes communication between the teacher and parents very easy. Our Room Parents will use the roster to contact you regarding school and class activities. We will also pass this list out to everyone in our classrooms so you may contact each other. If you do not wish to be included in that list, please let us know by checking the response at the end of this form. We encourage you to include your email address as it allows us to contact each other very quickly. Thank you!

Student's First Name *
Your answer
Student's Last Name *
Your answer
Teacher *
Check the name of your child's teacher. If you have twins, you may check more than one teacher and only have to fill this form out one time!
Required
Parent/Guardian Names *
Please include all parents and guardians with whom the child lives with during the school year.
Your answer
Home Phone Number
If none, go on to next question
Your answer
Cell Phone Number
Choose one and enter the number below. You may enter up to 3.
Cell Phone Number
Your answer
Cell Phone Number
Another cell phone number?
Cell Phone Number
Your answer
Cell Phone Number
Another cell phone number?
Cell Phone Number
Your answer
Email Address
This is our primary method of communication. We will send updates and important information to these email addresses. Choose one and enter the email address below. You may enter up to 3.
Email Address
Your answer
Email Address
Another email address?
Email Address
Your answer
Email Address
Another email address?
Email Address
Your answer
Check Your Choice Below *
Do we have your permission to share your information? Choose all that apply.
Required
Anything else you wish to share?
Your answer
Submit
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