Sjn Form 1 - Grandparent Information

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SJN Form #1
FIRST INITIAL OF LAST NAME ________
ST. JOHN NEUMANN REGIONAL CATHOLIC SCHOOL
Grandparent Information
2015 – 2016 School Year
Each year we ask your assistance in establishing a listing of all grandparents of our students. This enables us
to send them school-related information, our Annual Fund mailings, and the Annual Report. Please complete
this form even if you have previously submitted this information to us. This enables us to keep our
files up-to-date. Thank you.
PARENT INFORMATION
Name __________________________________________________________________________________
Children attending St. John Neumann Regional Catholic School:
Name ________________________
Grade ______
Name ________________________
Grade ______
Name ________________________
Grade ______
Name ________________________
Grade ______
PATERNAL GRANDPARENTS
Grandfather’s Name _______________________________________________________________________
Address _________________________________________________________________________________
City _________________________ State ____________ Zip ___________ Phone ____________________
Grandmother’s Name ______________________________________________________________________
Address _________________________________________________________________________________
City _________________________ State ____________ Zip ___________ Phone ____________________
MATERNAL GRANDPARENTS
Grandfather’s Name _______________________________________________________________________
Address _________________________________________________________________________________
City _________________________ State ____________ Zip ___________ Phone ____________________
Grandmother’s Name ______________________________________________________________________
Address _________________________________________________________________________________
City _________________________ State ____________ Zip ___________ Phone ____________________
Are any of the above addresses new this past year?
Yes
No

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