Conway School Buzz Book 2019-2020 (deadline 9/6/19)
THE DEADLINE FOR SUBMISSIONS IS FRIDAY, SEPTEMBER 6, 2019.

USE THIS FORM IF:
1) Your child is new to Conway this year.
2) Your child was not listed in last year's buzz book.
3) You need to make changes to your child's listing.

Enter the information EXACTLY as you want it to appear.

You will NOT receive a confirmation email. Rest assured, if you complete the form below, your information has been received.

QUESTIONS? Please contact Beth Harkonen (bethchark@gmail.com / 314-749-0704)

_____________________________________________________________________________

Please choose the appropriate option: *
(Please check all that apply.)
Student #1 - Last Name, First Name (please start with youngest child, if more than one) *
(i.e. Smith, Jane)
Your answer
Student #1 - Grade Level *
Student #2 - Last Name, First Name
(i.e. Smith, Jane)
Your answer
Student #2 - Grade Level
Student #3 - Last Name, First Name
(i.e. Smith, Jane)
Your answer
Student #3 - Grade Level
Student #4 - Last Name, First Name
(i.e. Smith, Jane)
Your answer
Student #4 - Grade Level
Does your child(ren) have more than one household? *
If yes, you may choose to submit a separate online Buzz Book form for each household.
Primary Household - Street Address *
(i.e. 9900 Conway Road)
Your answer
Primary Household - Zip Code *
Your answer
Primary Household - Home Telephone Number (if applicable)
(xxx-xxx-xxxx)
Your answer
Primary HH - Parent/Guardian #1 - Full Name *
(i.e. Chris Smith)
Your answer
Primary HH - Parent/Guardian #1 - Cell Phone Number
(xxx-xxx-xxxx)
Your answer
Primary HH - Parent/Guardian #1 - Email Address
Your answer
Primary HH - Parent/Guardian #2 - Full Name
(i.e. Katie Smith)
Your answer
Primary HH - Parent/Guardian #2 - Cell Phone Number
(xxx-xxx-xxxx)
Your answer
Primary HH - Parent/Guardian #2 - Email Address
Your answer
PRIMARY HOUSEHOLD CONSENT: While my child(ren) is a student in Ladue Schools, I consent for this information to be: *
(Please check ALL that apply.)
Required
Secondary Household - Street Address
**if different than above** (i.e. 4321 Warson Road)
Your answer
Secondary Household - Zip Code
Your answer
Secondary Household - Home Telephone Number (if applicable)
(xxx-xxx-xxxx)
Your answer
Secondary HH - Parent/Guardian #1 - Full Name
(i.e. Chris Smith)
Your answer
Secondary HH - Parent/Guardian #1 - Cell Phone Number
(xxx-xxx-xxxx)
Your answer
Secondary HH - Parent/Guardian #1 - Email Address
Your answer
Secondary HH - Parent/Guardian #2 - Full Name
(i.e. Katie Smith)
Your answer
Secondary HH - Parent/Guardian #2 - Cell Phone Number
(xxx-xxx-xxxx)
Your answer
Secondary HH - Parent/Guardian #2 - Email Address
Your answer
SECONDARY HOUSEHOLD CONSENT: While my child(ren) is a student in Ladue Schools, I consent for this information to be:
(Please check ALL that apply.)
LAST STEP for Buzz Book - Please go back and review all the information you entered and ensure it is EXACTLY the way you want it to appear in the Conway Buzz Book. *
Required
Thank you for submitting your information for the Conway School Buzz Book. You will NOT receive a confirmation email. Your information has been received.
If you have any questions please contact Beth Harkonen at bethchark@gmail.com.
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