Adopt-A-School Program

School & Summer

Contact Information Sheet

School Name _______________________________________________________

Address____________________________________________________________

City and Zip ________________________________________________________

Phone ___________________ Fax ______________________________

Email _____________________________________________

Please print name, summer address and phone numbers

Principal Name _____________________________________________________

Summer Address ___________________________ City/Zip _________________

Phone Number ________________ E-mail _______________________________

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Adopt-A-School Coordinator Name _______________________Grade_________

SummerAddress_____________________________City/Zip_________________

Phone Number ________________ E-mail _______________________________

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Team Teacher Name _________________________________ Grade ______

Summer Address_________________________________________________

City/Zip_________________________________________________________

Phone Number _____________ E-mail _______________________________

Team Teacher Name _________________________________ Grade ______

Summer Address ___________________________________________________

City/Zip___________________________________________________________

Phone Number ________________ E-mail _______________________________

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Team Teacher Name __________________________________Grade ______

Summer Address ________________________ ______________________

City/Zip____________________________________________________________

Phone Number __________________ E-mail_____________________________

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Team Teacher Name_______________________________Grade________

Summer Address_______________________________________________

City/Zip_______________________________________________________

Phone Number____________________________________________________

Email __________________________________________________________

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Specialist Name ___________________________________Grade __________

Summer Address _______________________________________________

City/Zip_______________________________________________________

Phone Number __________________ E-mail___________________________

This contact information sheet along with the Commitment Sheet and the Adopt-A-School Application Questionnaire (when applicable) is due to Art Links no later than April 30. If faxing, use a coversheet (513-363-0094). If a CPS school send via Pony or mail to Art Links-PO BOX 5381-Cincinnati, OH 45201-5381 ATTN: Laura Stewart.