SPPS Capitol Hill -- Family Directory Information Form

Capitol Hill Gifted and Talented Magnet School

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Family Directory Information Form

Tell us what information you would like listed in the student directory. Produced by the PTO, the directory is sent to all Capitol Hill families.

Please complete this form and the Volunteer Form by September 14, 2007.

Privacy Policy
Capitol Hill and the Capitol Hill PTO will, with your permission, publish your name, children's names, children's grade and teacher, address and home phone number in the Capitol Hill Magnet School directory. Capitol Hill and the Capitol Hill PTO will not provide your contact information to any outside vendors.

PTO Chair:
Darlene Haecker
haeckerheadquarters@comcast.net
651-698-8522

Directory Editor:
Ayesha Shariff
Capitol Hill Directory
651-224-0731

Click "Finish" to submit the form.

Please do not use all capital or all lowercase letters.

First Name of Child 1

Last Name of Child 1

Child 1 Grade

Child 1 Teacher (for Grades 1-6)

First Name of Child 2

Last Name of Child 2

Child 2 Grade

Child 2 Teacher (for Grades 1-6)

First Name of Child 3

Last Name of Child 3

Child 3 Grade

Child 3 Teacher (for Grades 1-6)

Parent/Guardian One First Name

Parent/Guardian One Last Name

Please abbreviate in address: St, Ave, Rd, Pl, N, S, E or W. Please do not include periods at end of abbreviations.

Address

Please enter St Paul for Saint Paul, Mpls for Minneapolis.

City

State

Zip Code

Please enter phone in format 000-000-0000

Home Phone

E-mail address for Parent One (will not be published in the directory

Parent/Guardian Two First Name

Parent/Guardian Two Last Name

E-mail address for Parent Two (will not be published in the directory)

Address for Parent/Guardian Two, if different

City

State

Zip Code

Home Phone for Parent/Guardian Two, if different

I (We) give my (our) permission to Capitol Hill Magnet School and the Capitol Hill Parent Teacher Organization (PTO) to publish my (our):
Name(s)
Child(ren)'s name(s)
Child(ren)'s grade(s) and teacher(s)
Address(es)
Home phone number(s)
as we've entered them on this form in the 2006-2007 Capitol Hill Magnet School Directory.

Permission given

Yes
No

[ Finish ]

Capitol Hill Gifted and Talented Magnet School -- 560 Concordia St. Paul, Minnesota -- 651-325-2500 -- St. Paul Public Schools