Request edit access
                Directory Information Sheet
Fill in any information you would like published in the Reagan Directory.  You will need to submit a new response for each student.  The Directory will be available on the Reagan Parents with Heart Facebook page or by emailing reaganpwhquestions@gmail.com.
Sign in to Google to save your progress. Learn more
Student Name (Last Name, First Name) *
Grade *
Teacher *
Parent Contact 1 - First and Last Name(s)
Parent Contact 1 - Address
Parent Contact 1 - City State Zip
Parent Contact 1 - Phone number(s)
Parent Contact 1 - Email address(es)
Parent Contact 2 - First and Last Name(s)
Parent Contact 2 - Address
Parent Contact 2 - City State Zip
Parent Contact 2 - Phone Number(s)
Parent Contact 2 - Email address(es)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Millard Public Schools. Report Abuse