Renaissance Academy High School • Pacific Palisades California

Parents Teachers Student Association

Directory Information Release Form

Last Name
First Name
Student's Name
Address
Home Telephone
Additional Telephone Cellular/Pager
Email

I give permission to post this information in an online, password-protected school directory.

give permission to post this information in a printed school directory.

Business Directory Information

Business Name
Type of Business
Address
Telephone
Website URL
Additional Info