2017-2018 Confirmation Communication Form
Please fill out a separate form for each student.
Email address *
Student Information
Student's Name *
If shortened please specify.
Your answer
Gender *
Grade in 2017-2018 *
Your answer
School *
Your answer
Student's Cell Phone Number *
Your answer
Texting? *
Student's Email *
Your answer
Does this student have Facebook? *
Parent/Guardian Information
If you have a blended family or unique family setting please adapt the format to your unique situation so that we may be sensitive to it.
Mother's Name *
Your answer
Mother's Cell Phone
Your answer
Texting?
Mother's Email
Your answer
Does the mother have Facebook?
Father's Name *
Your answer
Father's Cell Phone
Your answer
Texting?
Father's Email
Your answer
Does the father have Facebook?
Additional Notes
Your answer
Text Alerts
Parents, stay up to date with text alerts! Text mlcparents to 313131 and get notified of upcoming events and reminders.
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