BHS PTSA Online Directory (2016-2017)
***By submitting this form, I am consenting to my child's (children's) information being included in the BHS PTSA Online Directory.***
Parent First Name *
Your answer
Parent Last Name *
Your answer
Parent Email *
Your answer
Phone Number
List with no dashes (ex. 9999999999)
Your answer
Second Parent First Name
Your answer
Second Parent Last Name
Your answer
Street Address
Your answer
City
Your answer
Zip Code
Your answer
Student First Name
Your answer
Student Last Name
Your answer
Student Grade
Student 2 First Name
for additional BHS student in household
Your answer
Student 2 Last Name
Your answer
Student 2 Grade
Student 3 First Name
for additional BHS student in household
Your answer
Student 3 Last Name
Your answer
Student 3 Grade
Would you like to be added to the BHS PTSA Yahoo Group?
Would you like to be added to your child's (children's) Parent Partner email group?
Electronic Signature *
Please type your name confirming your agreement to have your child's (children's) information published in the BHS PTSA directory
Your answer
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