Packanack PTO School Year Form 2016-2017
Kindly fill out this form at your earliest convenience. Thank You!
Family Last Name
Your answer
First Name of Parent #1
Your answer
Last Name of Parent #1
Your answer
First Name of Parent #2
Your answer
Last Name of Parent #2
Your answer
Address
(Number and Street)
Your answer
Primary Email Address
(For Class Parent/PTO Communication)
Your answer
Secondary Email Address
(For Class Parent/PTO Communication)
Your answer
Primary Phone Number
Your answer
Secondary Phone Number
Your answer
First Child's FIRST Name:
Your answer
First Child's LAST Name:
Your answer
First Child's Grade:
(Prek, K, 1, 2, 3, 4, or 5)
First Child's Teacher
Second Child's FIRST Name
Your answer
Second Child's LAST Name
Your answer
Second Child's Grade
Second Child's Teacher
Third Child's FIRST Name
Your answer
Third Child's LAST Name
Your answer
Third Child's Grade
Third Child's Teacher
Fourth Child's FIRST Name
Your answer
Fourth Child's LAST Name
Your answer
Fourth Child's Grade
Fourth Child's Teacher
Would You Like to Be a PTO Member for the '16-17 School Year?
If you check yes, please send in a check to "Packanack PTO" for $7.00
Please send in your class party $9.00 CASH labeled with your Child's name/ grade/ teacher at this time
Class party money is used for the Halloween, Holiday and End of Year Parties.
Would You Like to Be Included in Our School Directory?
The Directory is used for your children to be able to keep in touch with their classmates. ie playdates, homework assignments, etc.
Is there any information you would NOT like to be printed in the directory? Check all that apply.
The Directory will print your child's name, phone number, address, parent names, email, grade and teacher.
By typing my name below, I give the PTO permission to use my information as I have outlined above.
Your information will be used to send you emails on events occurring at the school and within your child's specific class. It will be used for PTO Membership and Directory ONLY if you have answered "yes" above.
Your answer
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