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*** After submitting/updating your contact information, please visit the PTA STORE Tab to pay annual membership dues. We are now accepting 2023-2024 Dues. ****

Name
 
Date Submitted (none current)
Member/Parent #1 First Name

Member/Parent #1 Last Name

Member/Parent #1 Email

Member/Parent #1 Phone (example: 555-555-5555)

Member /Parent #2 First Name

Member /Parent #2 Last Name

Member /Parent #2 Email

Member /Parent #2 Phone (example: 555-555-5555)

Street

City

State

Zip

Can we contact member 1 via text? Yes
No

Can we contact member 2 via text? Yes
No

23-24 Grade Level Child 1

23-24 Grade Level Child 2

23-24 Grade Level Child 3

23-24 Grade Level Child 4

23-24 Grade Level Child 5