Lexington SEPAC/SEPTA 2018-2019 Membership Form
Please note: membership is limited to parents of children with special needs who either reside or attend school in Lexington, MA, and their teachers. If you do not meet these criteria, you may receive meeting notifications by sending a request to meetingnotifications@lexsepta.org.
Name *
Your answer
Street Address *
Your answer
City/Town, State, Zip Code *
Your answer
School(s) my child(ren) with special needs attend(s) *
Your answer
Email *
Your answer
I plan to make a donation in the amount of: *
Suggested minimum donation of $5 to cover PTA membership dues. Please be generous if you can. Membership contributions are our primary source of funds for programming. You will have the opportunity to make a tax-deductible donation online after filling out this form.
Add me to the SEPAC Announcements email list:
Official announcements of meetings
Add me to the SEPAC Parent Discussion email list:
For questions and discussions of interest to the community
Check the boxes if you would be interested in volunteering:
(Optional) Share a few words describing the category or nature of your child's special needs.
Your answer
I would be interested in connecting with other parents of children with similar disabilities
Any suggested speakers or events you would like to see the SEPAC & SEPTA sponsor?
Your answer
Other comments, questions or suggestions?
Your answer
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