2008-09 Folly Quarter Middle School

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					                                   FQMS PTA Directory Form 2009-2010

The Folly Quarter PTA is compiling a student directory for use by FQMS students, families, and staff. You’ll find this to
be an indispensable tool for getting in touch with other members of the FQMS community. The PTA will be distributing,
free of charge, one copy of the directory to each family (regardless of PTA membership status). The printing of the
directory is, once again, being generously donated by Svec Conway Printing (www.svecconway.com).

            Please return this form no later than September 15, 2009 (only 1 form per family is needed).
         Please complete this form on the computer, save it as ‘Directory_YourLastName’ and email it to:
                                                             amskey3@verizon.net
                  If you can’t type it on the computer, print the form, fill it out by hand and return it to:
FQMS office, marked ‘PTA c/o Ann-Margaret Knauff’, or mail to FQMS PTA, c/o Ann-Margaret Knauff’, P.O. Box 159, Glenelg,
MD 21737. Contact Ann-Margaret Knauff: 410-988-9769, amskey3@verizon.net with any questions.
                                    YES       NO


New to FQMS this year?

                                                                                   PLEASE TYPE OR PRINT CLEARLY


1st Parent/Guardian names (first and last)

Home address:

City, State and Zip Code:

Home phone number:

Cell phone or other phone number:

E-mail address:

Safe Homes Network Participation? (see information below)          YES                NO

2nd Parent/Guardian names (first and last):

Home address:(if address same as above, please write “SAME”)

City, State and Zip Code:

Home phone number:(if same as above, please write ‘SAME”)

Cell phone or other phone number:

E-mail address:

Safe Homes Network Participation? (see information below)          YES                NO

Grade______                                        Student name

Grade______                                        Student name

Grade______                                        Student name

Grade______                                        Student name



Folly Quarter Middle School PTA; P.O. Box 159, Glenelg, MD 21737; www.follyquarterpta.org                          Page 1
Enclosed is $____________ for _______additional copies of the directory Please include a check, made payable to “FQMS PTA” for $10
per additional directory. Write on the memo of the check ‘additional directory copies’.




                                                             Join Safe Homes!

What is Safe Homes?
Safe Homes is an informal network of Glenelg High School, Folly Quarter Middle School, and Glenwood Middle
School parents who pledge that they:
   1. will not allow the illegal use of alcohol, drugs, or tobacco in their homes or on their property, and
   2. will be at home when young adults have a party in their home or on their property.

Parents participating in this pledge will be noted in the FQMS Student Directory.

Why Safe Homes?
Many parents feel that they are the only ones who want a safe, drug and alcohol free environment for their children
and feel uncomfortable talking to other adults about their concerns. This directory is a way for these parents to
connect and support each other’s efforts. Research continues to show that parents are the number one influence on
their children’s risk taking behaviors. For more information see www.theantidrug.com.

The FQMS Safe Homes Pledge is not intended to be and in no way constitute a legal agreement between the households signing and the Folly Quarter Middle
School Community at large. It does not in any way constitute a legal document or create a legal duty or obligation nor any personal liability to you. It is not an
assumption of risk, or an agreement to assume liability for the actions of non family members who visit your homes. It is simply a tool for parents to
communicate their desire to maintain a household free of drugs and alcohol. The pledge is not intended to be a substitute for responsible parenting, all parents
are encouraged to contact the homes in which their children are visiting.




Folly Quarter Middle School PTA; P.O. Box 159, Glenelg, MD 21737; www.follyquarterpta.org                                                                Page 2

				
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