Roxborough Primary & Intermediate
07.30.10
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Interested in becoming a Watch Dog? 

Fill out the form below and Roxborough's "Top DOG" will contact you with information on how you can get involved.

Please note that this information will not be sent to Roxborough Primary and Intermediate.  The information will be sent to Jim Lynch, a parent volunteer that is serving as the "Top DOG" coordinator for the program.  Jim can be reached by email at roxdogs@comcast.net or by phone at (303) 434-4364


To learn more about the Watch D.O.G.S. program, CLICK HERE to be directed to the National Center for Fathering.



Items denoted with a red asterisk * are required.
 * Father/Father Figure Name:
 
First Name
M.
Last Name
 * Email
 
Home Phone
 
 -  - 
(XXX)-XXX-XXXX
Mobile Phone
 
 -  - 
(XXX)-XXX-XXXX
Work Phone
 
 -  - 
(XXX)-XXX-XXXX
 * Student Name (1)
 
 * Teacher Name (1)
 
Student Name (2)
 
Teacher Name (2)
 
Student Name (3)
 
Teacher Name (3)
 
T-Shirt Size
 

Selecting a T-Shirt size does not require you to purchase a shirt, but will help us to plan for potential demand.








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