Summer Packet

Directory Form

Dear SRV Family:

Please take a few moments to let us know how you would like your name, address, phone and email listed in the school directory.

In cases where a family has separated or divorced parents, please let us know how you would like your family to appear in the directory and provide both parents information on this form.

Thank you

Child Name(s):
Parent/Guardian:
Address:
Phone:
E-Mail:
Second Parent Information (if applicable)
Second Parent:
Address:
Phone:
E-Mail:
Notes: