Please provide the following contact information:

Name
Street Address
City
Zip Code

Enter your child's name:

Name
Grade

Suggestion(s) or concern(s) that you wish to be discussed by the Cordova Leadership Council:

(In order for this item to be discussed, it must be specific or a proposal included. In order to be placed on the next meeting's agenda, this form should be returned to the school office, or filled out and submitted from this Internet site, no later than the last Friday of the month. No anonymous suggestions or concerns shall be addressed.)

I would like to be placed on the agenda for the next meeting of the Cordova Leadership Council to address the Council regarding my suggestion(s) or concern(s):

Yes