Locker sign-up for juniors and seniors - (2012-2013)

Please fill out the information below in order to request a locker. Your locker will be noted on your schedule. This form is for juniors and seniors only. All sophomores will be assigned a locker automatically.


  1. Last name:


  1. First name:


  1. Grade
    11
    12


  1. homeroom teacher name:





Martin J. Hayes
House Principal
East
PA