Hillside School Buzz Book  

 

The Buzz Book is Hillside School’s PRIVATE telephone directory.  Information received is organized into a printed book and distributed to families with children attending Hillside.

 

Please provide us with the information requested below so it may be incorporated into the 2005-2006 Buzz Book.  If you have more than one child at Hillside please fill out a separate form for each child. 

 

Thank you for your cooperation.

 

 

Child’s Name:          ______________________          ______________________

               First                                                    Last                

Address:          ___________________________________________________

 

Child’s Birthday: ______ /______

           Mo.            Day             

Telephone #: (973 area code only please) _____________________________

 

Parent’s Name:  _____________________            ______________________

          Mother                                        Father

Child’s Grade 2005/2006:___________­­___

 

Email Address:  ________________________________________________

 

Is this child is the oldest or only child in your family at Hillside?     

o     Yes     o     No

 

Please check one:

o        You have my permission to include the above information in the Buzz book.  I understand that a copy of the Buzz Book is distributed to all families with children at Hillside Elementary School.

 

o        Please do not include my information in the Buzz Book.

 

 

Parent or Guardian Signature: _____________________________________