Submit info to Student Directory

Student Directory/Homeroom Parent

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Centennial Student Directory Release
Please indicate if you would like your information in the Centennial Student Directory

Choose One *

NO, do not include our information. YES, you may include the primary residence information. YES, you may include both primary and secondary residence information

Homeroom Parent List
Please indicate if we can share your information with the Homeroom parent for your child's class. This will be to receive updates and needs about your child's individual class.

Choose One *

YES, you may share my email. NO, you may not share my email.

Student Information

Last Name - Child #1 *

First Name - Child #1 *

Grade - Child #1 (choose from drop down) *

Last Name - Chid #2 *

First Name - Child #2 *

Grade - Child #2 (choose from drop down) *

Last Name - Child #3 *

First Name - Child #3 *

Grade - Child #3 (choose from drop down) *

For additional children, please fill out additional form.

Parent/Guardian Information - Primary Household

Parent First Names *

Parent Last Name *

Primary Address *

Line 1

Line 2

City

State

Zip Code

Country

E-mail *

Phone Number *

Parent/Guardian Information - Secondary Household (if needed)

First Names *

Last Name *

Secondary Address *