*First Name

*Last  Name

*Street Address (complete)

*City, State, Zip (complete)

*Home Phone

*Work or Cell Phone(s)

*Your E-mail (check accuracy)

*First Name(s) of your Child(ren) at EDS

*Grades of Child(ren) Currently Attending EDS or Your Membership Category for the Chat List

(Hold down shift key to select more than one grade level for more than one child at EDS or more than one category)

Kindergarten - K First - 1st Second - 2nd Third - 3rd Fourth - 4th Fifth - 5th Sixth - 6th Seventh - 7th Eighth - 8th Staff Other

*Are you currently involved as a Classroom Volunteer at EDS?

Yes No

*How did you find out about the EDS Parent Participation Email Group

(choose only one)

EDS Wednesday Envelope Invited by Email EDS Staff EDS Parent Internet Search Other

Other Comments

Optional: You may write in any length.

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