P.S.196Q Parent/Guardian Registration Form

 

If you would like to be contacted regarding important P.A. issues, please fill in the form below:

1. Parent/Guardian:
First Name:
Last Name:
Email:
Telephone
Cell
2. Parent/Guardian:
First Name:
Last Name:
Email:
Telephone
Cell

Child 1 Name		Grade  Select... Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
Child 2 Name		Grade   Select... Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
Child 3 Name		Grade Select... Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
Child 4 Name		Grade   Select... Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

 

 

 The information you provide us  will be used by the Parents Association Only.  All information will be kept confidential.