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IS 289 Contact Information
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* Indicates required question
Grade
*
6th
7th
8th
Student - first name
*
Your answer
Student - last name
*
Your answer
Parent/Guardian first name
*
Your answer
Parent/Guardian last name
*
Your answer
Parent/Guardian email address
*
Your answer
Parent/Guardian cell phone
*
Your answer
Parent/Guardian preferred language
*
English
Spanish
Cantonese
Mandarin
Other:
Parent/Guardian 2 first name
Your answer
Parent/Guardian 2 last name
Your answer
Parent/Guardian 2 email address
Your answer
Parent/Guardian 2 tel/cellphone
Your answer
Home Mailing Address (number + street)
*
Your answer
City
*
Choose
New York
Brooklyn
Queens
Bronx
Staten Island
Apartment Number (put n/a if none)
*
Your answer
Zip Code
*
Your answer
May we share this information with the PTA?
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No
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