Electronic Branching Out Opt-in Form

Please complete the following form. All fields are required. You must check the Authorization checkbox in order for your information to be saved.

Your Name
Your Email Address
Phone ()
Address
City    Zip
 
It's not necessary to fill in the student information below; however, if you do, we can use it to update our records so we have your correct contact information on file in case we need to get a hold of you.
Student Name
* If you have more than one student at RHS, only list the youngest.
Student ID
* Use the 6-digit Student ID for the student you entered above.
 
Authorization I hereby authorize Roosevelt High School to begin electronic mailing to the email address that I have provided. I also authorize Roosevelt High School reserves the right to contact me occasionally via this email address concerning technical issues and web site features. I understand that Roosevelt High School and Kent City Schools will NOT share my email address with any third-party entity for any reason whatsoever.