Floris Elementary PTA Membership 2021/22

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Welcome to our new and returning members! We value your participation in the PTA at Floris -- your willingness to join the community and to support us financially allow us to carry out this very important work.

Email *

Member 1 First Name *

Member 1 Last Name *

Member 1 Email Address *

Please try to use the same email address across registrations, and possibly PayPal too.

Member 1 Contact Phone # *

Are you a Faculty/Staff?

Yes

Clear selection

Member 2 First Name

Member 2 Last Name

Member 2 Email Address

Member 2 Contact Phone #

Student 1 First Name and Last Name *

Teacher *

List the teacher name if not selected above

Grade *

Home Number (street number) *

Street Name *

Street Name (If Not listed above)

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