SAMPLE

XYZ Charter

719 Fourth Street

Anytown, TX

555/555-1234

ANNOUNCEMENT FORM

Submitted by: _____________________________________ Date submitted: __________________

Date(s) to be announced: ____________________________________________________________

To be announced by: ________________________ When to announce: ______________________

Target Audience: Grade_______ Entire School___________

Announcement: (to be read as written)

This form must be given to ________________________at least one day prior to the date of announcement.

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