carpentercharter.org

SIGN UP FOR THE CARPENTER STUDENT DIRECTORY AND FOR THE TWICE WEEKLY EMAIL BLASTS. Please Note: Information collected here will not be used for any marketing purposes. It will only be used for school communications.

* required

Primary Email Address: *

Optional Additional Email Address

Child's Name *

Grade Level *

Teacher's Last Name *

Child #2's Name

Grade Level

Teacher's Last Name

Child #3's Name

Grade Level

Teacher's Last Name

1st Parent's Name *

1st Parent's Daytime Phone (Fill in only if you want this number listed in the Directory)

1st Parent's Cel Phone (Fill in only if you want this number listed in the Directory)

2nd Parent's Name

2nd Parent's Daytime Phone (Fill in only if you want this number listed in the Directory)

2nd Parent's Cel Phone (Fill in only if you want this number listed in the Directory)

Home Address: *

Address (line 2):

City: *

State: *
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Zip Code: *

Home Phone (Fill in only if you want this number listed in the Directory)

Check here if you DO NOT want your information included in the Student Directory

2nd Parent Address Line 1 (if different)

2nd Parent Address Line 2

City

State

Zip Code

2nd Address Home Phone (Fill in only if you want this number listed in the Directory)

Check here if you do not want the 2nd Parent information included in the student roster



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