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TBT - PTA

Membership Sign-Up Form

2016/2017

Please print clearly

______________________________   __________________________________________

First Name/Spouse’s First Name                                                           Last Name

___________________________________________________________________________________________

Address

____________________________________________________________________________________

City                                                        State                                                           Zip

_____________________________________________________________________________________

Telephone                                                                 E-mail Address

Family Membership:

         Please make your $18.00 check payable to TBT-PTA.

 

               Yes, please contact me to volunteer at TBT-PTA events.  

         I am interested in being a class parent.

Child’s Name                                        Child’s Grade          Room Number/Teacher’s Name              

___________________             ___________       __________________________

___________________              ___________      __________________________

___________________             ___________       __________________________

___________________             ___________       __________________________

___________________             ___________       __________________________

Please contact Meredith Rothstein

with any ideas, comments or questions at This email address is being protected from spambots. You need JavaScript enabled to view it.

Please return this form to your child’s teacher (or) 2900 Jerusalem Ave, Wantagh, NY 11793 Attn: TBT-PTA