Colebrook Consolidated School
2008 –2009 School Directory Permission Form
I, ___________________________, give the Colebrook Consolidated School Parent Teacher Organization permission to print the following information in a school directory, which will be distributed to all school families.
Please include only the information that you would like published. If you do not want to be included in the directory, please check the box below, enter the student name, grade and sign at the bottom.
q
Please do not include our family in the school directory.
Student Name(s) and current grade: ________________________________________________________________________
Parent Names:
Physical Address:
Mailing Address:
Phone Number:
Email:
Signed:___________________________________________ Date: ________________
Please return this form to the school by October 24th.
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