RJ Fisher 2008-09 Buzz Book Student Directory Form
Please note that this form MUST be turned in for your child to be listed in the Buzz Book school directory.
Please check one or more of the options below, sign it, and turn this form in by August 29. This sample is how your student’s information will appear in the Buzz Book. Doe, John
Mary and Fred Doe 111 Anystreet Rd. Los Gatos 95030 420-5555 m-cell Doefamily@yahoo.com
7th
358-0000
Please Please Please Please
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Yes! Please list my child as written below. I give my permission for the District to release this information for publication in the Buzz Book and understand that this permission will be permanent for future Buzz Books unless I notify the office otherwise. Student Name: __________________________________________ Parents’ names: _________________________________________ Address: _______________________________________________ Phone: _________________________________________________ Cell: ___________________________________________________ Email: __________________________________________________ 2nd Parent Name: _______________________________________ Address: _______________________________________________ Phone: _________________________________________________ Cell: ___________________________________________________ Email: __________________________________________________
Parent/Guardian Signature The Buzz Book is included with your Fisher Home & School membership.