Signature Required for Directory Listing Sample Clauses

Signature Required for Directory Listing. Please indicate: (a) Directory Listing & Purchase (b) Directory Listing Only I hereby release the following information for inclusion in the 2014-2015 WUSD School Directory. If purchasing, I agree to abide by the WUSD School Directory Use Restrictions stated as follows; “The WUSD School Directory contains private and personal information about students and families. Recipients of the Directory agree to use the WUSD Directory only to facilitate functions and activities of the WUSD and its students; agree not to disseminate or disclose the contents of the WUSD Directory to any third party individuals or organizations; and agree not to use the WUSD Directory for business or commercial purposes or for solicitations.” X _ Signature Printed Name Phone Number Date Step #2—WUSD Student Information List Youngest to Oldest Last Name First Name Grade Last Name First Name Grade Youngest WUSD Child’s Teacher: Step #3—Household Information (Entries Optional) Primary Household Alternate Household Parent’s Names Street Address City, State, Zip Home or Primary Phone Secondary Phone E-mail Address Step #4—Directory Purchase Order Please add your “Total Due” to Parents’ Club Annual Membership Drive Form. Size Price Qty Total Amount Package Deal—1 Booklet & 1 Pocket $15.00 $ Booklet 8.5” X 7” Only (Only booklet contains email addresses) $12.00 $ Pocket Book Only $7.00 $ Total Due $ For Parents Club Use Only Date Received: Paid by: Entered: Verified: Comments: Parents’ Club Annual Membership Drive All parents are truly members of Parents’ Club! - A district-wide organization made up of parents and teachers who share the common goal of fostering and facilitating a strong sense of school & community spirit. Please show your support for the many Parents’ Club sponsored activities by volunteering below and including your annual $20 donation with your back-to-school paperwork. With your donation Parents’ Club is able to: ● provide monetary gifts to teachers twice per year to use for their specific classroom needs; ● host wonderful family events such as the Harvest Carnival, Holiday Arts Fair, and Open House Dinners; ● sponsor a variety of educational and informational speakers; ● offer district-wide services including the school directory, spirit wear and emergency bags; ● show appreciation for our amazing teachers and secretaries with annual luncheons. Parents’ Club Annual Membership (only one per family) $20.00 Emergency Bag- $10.00 per bag or provide your own bag. (See WUSD lett...
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