Cornerstone 5th Grade Promotion RSVP

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

5th Grade Families,
Please complete the information below if you and your child will be attending the in-person promotion assembly on Wednesday, June 9 at 9:30 am. There is a maximum of two guests per household/family. Only those students and guests that have been pre-registered through this form will be admitted to the promotion ceremony on June 9th. All students and guests must complete the Covid Pre-Screen at https://bchdcovidscreen.org and show a screenshot of their green screen upon arriving at the promotion ceremony.

Student First Name *

Student Last Name *

Teacher *

Mrs. Buchholz

Mrs. Rooney

Ms. Dawa

I give permission to have my child photographed at the Promotion Ceremony and have the pictures uploaded to the Cornerstone 5th Grade Promotion Ceremony Shutterfly Account. *

Yes

No (If no, your child will not be photographed by the promotion ceremony photographers)

Guest # 1 First and Last Name *

Guest #1 Email *

Guest #1 Phone Number *

Guest #2 First and Last Name (enter NA if only one guest) *

Guest #2 Email (enter NA if only one guest) *

Guest #2 Phone Number (enter NA if only one guest) *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Palos Verdes Unified School District.

Does this form look suspicious? Report

Forms