CHANGO PTA

2010-2011 CHANGO PTA DIRECTORY REQUEST

If you would like to be part of the Chango PTA Directory for the 2010-2011 school year, please complete the below form.  We will send out the compiled electronic directory in November.  An update will also be sent out in January 2011.

Parent/Guardian #1 Name:

Address:

City:

State:

Zip Code:

Phone number (home, cell or both):

Email address:

Parent/Guardian #2 Name:

Address:

City:

State:

Zip Code:

Phone number (home, cell or both):

Email address:

List each child attending Chango:

Teacher name for each child attending Chango:

Grade for each child:

1.

1.

1.

2.

2.

2.

3.

3.

3.

4.

4.

4.

If you have any questions, please feel free to contact Noel Day, at jimandnoel@gmail.com