John Rogers Parent/Guardian Contact Information
Please fill out this form as accurately as possible for the Parent/Student Directory. Thank you!
Student First Name *
Your answer
Student Last Name *
Your answer
Students 2017-18 Classroom #/Teacher *
Please use format above Classroom#/Teacher Last Name
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone Number *
please enter in "000-000-0000" format
Your answer
Parent/Guardian Address
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Other Parent/Guardian Name
Your answer
Other Parent/Guardian Email
Your answer
Other Parent/Guardian Phone number
Your answer
Other Parent/Guardian Address (If different from above)
Your answer
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