Request NOT TO BE INCLUDED IN ST. FRANCIS XAVIER SCHOOL DIRECTORY: 2010/2011

Please complete and submit this form if you DO NOT WANT your child's/childrens's address and telephone number to be included in the SFX Directory. (Please note, our childrens's name will be in the listed on the class list.

Person Submitting this Form. FULL Name:   

Parent/Guardians Name:       

Childs Name and Grade

Student #1:       

Student #2:       

Student #3:       

Student #4:       

Student #5:       

Student #6:       

BUSINESS ADVERTISEMENTS:

If you own your own business and would like to pay for an advertisement, please send the annual fee of $25.00, payable to SFX Outreach Committee, to Mrs. Kupsc. Also include information you would like on the advertisement. Business cards work well. (Please mark check 'DIRECTORY: BUSINESS ADVERTISEMENT")