2020-2021 AECPTA Membership Form
Our membership year runs from August 1-July 31. Dues are $24.00 per family (with one voting member). After filling out this form, you will need to visit www.joinpta.org to pay your dues. Please make sure to select Allen Early Childhood PTA. Thank you!
Type of Membership I am Applying For: *
Required
First and Last Name *
Your Street Address *
City *
Zip Code *
Your Email *
Cell Phone Number *
Home Phone Number
Your Date of Birth (MM/DD/YY) *
If applicable - Your Spouse's Name First & Last *
Your Spouse's Cell Phone *
Your Spouse's Date of Birth (MM/YYYY) *
Child #1 Name (First & Last) *
Child #1 Birthdate (MM/YYYY) *
Child #2 Name (First & Last)
Child #2 Birthdate (MM/YYYY)
Child #3 Name (First & Last)
Child #3 Birthdate (MM/YYYY)
Child #4 Name (First & Last)
Child #4 Birthdate (MM/YYYY)
Child #5 Name (First & Last)
Child #5 Birthdate (MM/YYYY)
How did you hear about us? *
Required
If a friend or current member referred you, please let us know who to thank!
(Or please say more specifically where you heard about us - which preschool/business/website/etc.)
Ways to Volunteer: *
Which activities are you interested in getting more information on or volunteering for?
Required
We value your opinion! If you have ideas for activities, please list them here:
Ideas for adult social/couples, children's programs/field trips, topics/educational speakers, or other activities:
A digital membership directory is distributed to current members only. Please list the information you would like included in the directory. *
Yes
No
Home Address
Your Email
Your Cell Phone
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