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Churchill, Winston
4900 Whitney Ave
Carmichael, CA 95608
(916) 971-7324

San Juan Unified District Office
3738 Walnut Ave.
Carmichael, CA 95608
(916) 971-7700


Churchill Parent/Student Roster
The Churchill Parent/Student Roster will be used to help the Churchill Administration, PTO and IB Booster Club deliver timely school information to parents, students,faculty/staff and community members.

Student #1 first name

Student #1 last name

Student grade level
6th
7th
8th

Student Program
Special Education
Regular Education
AVID
Accelerated
International Baccalaureate

Student #2 first name

Student #2 last name

Student #2 Grade Level
6th
7th
8th

Student #2 Program
Special Education
Regular Education
AVID
Accelerated
International Baccalaureate

Student #3 first name

Student #3 last name

Student #3 Grade Level
6th
7th
8th

Student #3 Program
Special Education
Regular Education
AVID
Accelerated
International Baccalaureate

Parent #1 first name

Parent #1 last name

Address Parent #1

City Parent #1

State Parent #1

Zip Code Parent #1

Contact phone number parent #1

E-mail address parent #1

Parent #2 first name

Parent #2 last name

Address Parent #2

City Parent #2

State Parent #2

Zip Code Parent #2

Contact phone number parent #2

E-mail address parent #2

I'd be interested in helping with:
Parent Teacher Organization (PTO)
IB Parent Booster Club
Dances
Field Trips
Campus Supervision
Classroom help
As needed, just ask!

I would like to receive the Bulldog Newsletter and other school information by e-mail.
  True
  False

I give Winston Churchill Middle School permission to print my contact information in an electronic or paper format for school-wide distribution.
  True
  False

Enter the number below to submit your information.
anti-spam effort



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