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MLK PTSA Directory Form
The MLK PTSA publishes a student directory intended for the exclusive use of MLK students, parents, and staff. The school and PTSA use this form for invest program mailings, e-mail, the eNews, and for publishing the directory.
Please submit the following information, which will be entered, reviewed and/or corrected accordingly. This is to ensure your directory listing will be correct and that you will receive communications from the school. If you would rather download the form and send a hard copy to the school, you may do so by clicking on this pdf file:
PTSA Directory Form
Page 1 of 1
Student's Preferred First Name:
Grade Level:
7th
8th
9th
10th
11th
12th
Gender:
Male
Female
Last Name:
First Name:
Student's Address:
City:
ZIP:
Student's Phone:
Enter a valid phone number. Example: 123-456-7890
Student's Second Phone:
Enter a valid phone number. Example: 123-456-7890
Student's E-mail Address:
Enter a valid email address. Example: name@company.com
Publish Student in Directory?
Yes
No
Father/Guardian:
Address:
City:
ZIP:
Father's Primary Phone:
Enter a valid phone number. Example: 123-456-7890
Other Contact Phone (unpublished):
Enter a valid phone number. Example: 123-456-7890
Father's Primary E-mail address:
Enter a valid email address. Example: name@company.com
E-mail address (unpublished):
Enter a valid email address. Example: name@company.com
Publish Father/Guardian in Directory?
Yes
No
Mother/Guardian:
Address:
City:
ZIP:
Mother's Primary Phone:
Enter a valid phone number. Example: 123-456-7890
Other Contact Phone (unpublished):
Enter a valid phone number. Example: 123-456-7890
Mother's Primary E-mail address:
Enter a valid email address. Example: name@company.com
E-mail address (unpublished):
Enter a valid email address. Example: name@company.com
Publish Mother/Guardian in Directory?
Yes
No
This student has a brother/sister at MLK:
Yes
No
You will be included in the school directory unless you check NO in the indicated spaces provided above.
613 17th Avenue North, Nashville TN 37203 | 615-329-8400 |
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