PTA MEMBERSHIP FORM
Thank you for your interest in joining the PTA! Please fill out the form below and return t to the local PTA along with your dues payment. When the PTA gets involved, children benefit. When you get involved with PTA, the child who benefits most is yours.
I am (yo soy) ___ Parent/Guardian(pariente) ____ Teacher
___ Grandparent(abuelos) ____ Faculty/Staff
Fee (Costo): ____ Individual (primer individio) $10.00
____ Spouse (esposa/esposo) $ 5.00
____ Student (estudiante) $ 5.00
Pay to the order of (cheques al nombre de): Elmsford PTA
Name (Nombre): _______________________________________
Spouse (esposa/esposo): _________________________________
Student (estudiante): ____________________________________
Address (Direccion): ____________________________________
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Telephone (Telefono): ___________________________________
E-mail: _______________________________________________
Children (ninos) Grade/Teacher(Grado/Maestro)
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Internal Use Only:
Amount Collected: _______________ Date: ___________ By Whom: ______________________