2021‐2022 Student Directory Input Form

The McAuliffe PTSA publishes a student directory that is distributed only to McAuliffe PTSA members. Please complete this form to indicate your preference for information provided in the directory. The McAuliffe PTSA does not share, rent or sell any portion of this information.

NOTE: Each family must complete a form for the current year. Input must be received by FRIDAY, OCTOBER 8TH; otherwise, your child’s information will be published in the directory using the information on file with the school office.

* Indicates required field

Students Name *

First

Last

Grade/Teacher *

Select One *

I do NOT want my child(ren) listed in the student directory. I would like my child to be listed in the student directory with the information provided below.

You do not need to proceed further if opting out.
By consenting you are giving the school permission to provide the PTSA with your student’s teacher assignment.
Students will be listed in the directory as a class (under the assigned teacher’s name).
Please return this form by the deadline indicated above.

Optional, please share as much information as you choose.

Primary Household Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Name *

First

Last

Phone Number *

Email *

Parent/Guardian Name *

First

Last

Phone Number *

Email *

Additional Household Information *

QUESTIONS? Please contact our Student Directory chair at directory@mcauliffeptsa.org

Submit