do not include my family information in the school directory

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I hereby authorize St. Thomas Aquinas School to use the information provided on this form to publish an online School. Directory for the sole use of families ...

St. Thomas Aquinas School Directory Information 2018 - 2019 St. Thomas Aquinas School has available a digital directory to help the members of our school family in contacting one another.

DO NOT INCLUDE MY FAMILY INFORMATION IN THE SCHOOL DIRECTORY Please list below ONLY the information that you wish to have published in the directory:

Name of Parent / Guardian #1: FIRST NAME

LAST NAME

Home Address: STREET

CITY / TOWN

E-mail:

ZIP CODE

Phone:

Name of Parent / Guardian #2: FIRST NAME

LAST NAME

Home Address: STREET

E-mail:

CITY / TOWN

ZIP CODE

Phone:

Name of Student: FIRST NAME

LAST NAME

GRADE

FIRST NAME

LAST NAME

GRADE

FIRST NAME

LAST NAME

GRADE

FIRST NAME

LAST NAME

GRADE

FIRST NAME

LAST NAME

GRADE

Name of Student: Name of Student: Name of Student: Name of Student: ---------------------------------------------------------------------------------------------------------------------------------------------------------------I hereby authorize St. Thomas Aquinas School to use the information provided on this form to publish an online School Directory for the sole use of families whose children attend St. Thomas Aquinas School in the 2016-2017 School Year.

SIGNATURE OF PARENT / GUARDIAN #1

SIGNATURE OF PARENT / GUARDIAN #2

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