Directory Information Form

Please provide the information below and submit your picture for our new Saint Nicholas Directory. Thank you!

Head of House

Cell:


Spouse (if married)


Children (if any, oldest to younger):


Sample

DUCK (Family name)

Donald & Daisy (Head of house & spouse)

Huey, Dewey, & Louie (Children, youngest to oldest)

Please choose you photo file (Acceptable files types: jpg, jpeg, gif, png):


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