Vernfield Elementary School Directory
Vernfield Home & School Association (HSA) publishes a PRINTED school directory for each new school year which includes class lists and student contact information. The directory will ONLY be distributed to those families who complete this form requesting inclusion.
Families should please respect the privacy of those listed in the Directory; the intent is private use by families and should not be used for any business purpose. The School and HSA are not responsible for any misuse of this directory. For those families who opt to not be listed in the directory list, HSA information will still be sent home via email newsletters and teacher distribution.
Please return this form by FRIDAY, September 27, 2019 . Only one form per family is required. You may provide as much or as little information as you wish. If you choose not to publish your information, please check the "No, do not include our family information in the directory" and return this form with your Student/Family's name.
Do you want to be listed in the directory?
First Student's Name
Your answer
Grade
Teacher
Your answer
Second Student's Name
Your answer
Grade
Teacher
Your answer
Third Student's Name
Your answer
Grade
Teacher
Your answer
If you have more than three children, please send an email to bekuhlen03@gmail.com with any additional student's names, teacher names and grades.
If you are participating in the directory, please check ONE:
Parent/Guardian's Names:
Your answer
Street Address
Your answer
City and Zip Code
Your answer
Phone Number Parent/Guardian 1
Your answer
Phone Number Parent/Guardian 2
Your answer
E-mail address Parent/ Guardian 1
Your answer
E-mail address Parent/ Guardian 2
Your answer
If you need to include a second DIFFERENT set of information, complete this next set of questions.
Parent/Guardian's Names:
Your answer
Street Address
Your answer
City and Zip Code
Your answer
Phone Number
Your answer
E-mail address
Your answer
Submit
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