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2022/2023 HTH PTA Membership Form
Welcome to the exciting school year, 2022/2023. We thank you for joining Howard T. Herber PTA!  The money that we raise supports our children, whether they are in person or virtual. We are also here to support you too!

Please complete this form and pay by Venmo (@HTHPTA) or Zelle (hthmspta@gmail.com). You can also pay with cash or check (payable to “HTH PTA”). Please mail or drop off payment to PTA Membership Chair at 181 Rolling Street, Malverne, NY, 11565.

There are two options in which to join:
1) Individual:  One Parent/Guardian ($8)
2) Family:       Two Parents/Guardians ($14)

Your application will be processed when we receive payment. Once your application is processed, you will receive an email confirmation with your NYS PTA card.

If you have questions, please contact Andrea Raiola at hthmspta@gmail.com.
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1st Parent/Guardian Name *
Address *
First Parent/Guardian Phone Number *
First Parent/Guardian Email *
Second Parent/Guardian Name
Second Parent/Guardian Address ( if different than above)
Second Parent/Guardian Phone Number 
Second Parent/Guardian Email
Child #1 Attending HTH *
Child #1 Grade *
Child #2 Attending HTH
Child #2 Grade
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Child #3 Attending HTH
Child #3 Grade
Clear selection
What would your child(ren) like to see the PTA offer?
We are also here for you!  What would you like to participate in? *
Required
What other ideas might you be interested in?
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