Topeka Room Parent Contact Roster
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Parent Last Name *
Parent First Name *
Parent Email Address *
Parent Phone Number
Address (optional)
Student Name *
Student Grade *
Teacher Name *
Classroom #
Have you (parent) completed the LAUSD volunteer form? *
Have you joined the PTA *
Are you interested in: (check all that apply) *
Required
In which of the following areas would you like to share your talents? (Check all that apply)
This information will be shared with your Room Parent. Please authorize what information can be shared on class roster. *
Required
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