Cloverly ES Student Directory 2012-2013

Submit the form below to get listed in the Cloverly ES Student Directory for the 2012-2013 school year.
Once you become a member of the PTA you will receive a copy of the Student Directory once its printed.
Return to the Cloverly PTA website.

* indicates required

Parent / Guardian Name 1 *

Parent / Guardian Name 2

Address *

Street Address Address Line 2 City State/Province/Region Postal / Zip Code Country

Primary Phone *

( ) - (###) ### - ####

Alternate Phone

( ) - (###) ### - ####

Primary Email *

Alternate Email

Child 1 Full Name *

Child 2 Full Name

Child 3 Full Name

Child 4 Full Name

Child 5 Full Name