PTA Membership

TBT – PTA

Membership Sign-Up Form

2018/2019

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 Laurel Klein

with any ideas, comments or questions at lafactor@gmail.com

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