Connect-Ed

This form will sign you up for Connect-Ed, which will automatically call your phone 
numbers with important information such as school closings or delays.

Student Name:
First Name:	Last Name:
Street Address:
City:	State:
Zip Code:	Home Phone Number:

 

If there are parents/guardians living in seperate locations, please enter one 
additional phone number and contact that will receive ALL calls.

Contact Name:	Phone Number:

 

Please enter in any other alternate numbers contacts below.

Cell Phone:	Contact Name:
Work Phone:	Contact Name:
Alternate Home Phone:	Contact Name:
Alternate Cell Phone:	Contact Name:
Alternate Work Phone:	Contact Name:

 

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