2008-09 WYDOWN BUZZ BOOK INFORMATION Return to the Wydown Main Office PLEASE PRINT CLEARLY
__________________________________________________________ Student Last Name, First Name (as you would like it to appear in the Buzz Book) ______________ Grade
□ Check here if your child’s name was listed in the 2007-08 Wydown Buzz Book, and there are NO CHANGES for the 2008-09 Wydown Buzz Book (other than a grade change). IF YOU CHECKED THIS BOX, YOU ONLY NEED TO SIGN THE BOTTOM OF THIS FORM. □ Check here if you DO NOT WANT YOUR CHILD LISTED in the 2008-2009 Wydown Buzz Book. IF YOU CHECKED THIS BOX, YOU ONLY NEED TO SIGN THE BOTTOM OF THIS FORM. All others, please neatly print the following (as you would like it to appear in the Buzz Book): ___________________________________ _________________________________ Mom’s full name Dad’s full name __________________________________________________________ Address _________ Zip
_____________ _______________________________________________________ Telephone Parent e-mail address (please print ) ............................................................................................................................................. □ Check here to include a SECOND ADDRESS/PHONE NUMBER in the Buzz Book. Complete the following for the second address: ______________________________________________________________________ Parent(s) full name(s) at 2nd address ________________________________________________________ 2nd address ________________ Zip
_____________________ ______________________________________________________ 2nd Telephone 2nd Parent e-mail address (please print) ......................................................................................................................................................... _______________________________________________ Parent Signature ___________________________ Date
TO ORDER YOUR BUZZ BOOK(S), COMPLETE THE PTO MEMBERSHIP FORM