2018-2019 SLH PTA Membership Registration
Thank you for your interest in joining us! Your PTA membership includes access and entry in the PTA School Directory. Please submit your information below and follow the payment instructions on the next page.
Parent/Guardian First & Last Name *
Your answer
Add'l Parent/Guardian First & Last Name
Your answer
Student 1 Name, Grade/Teacher *
(Jane, 2nd/Bilotta)
Your answer
Student 2 Name, Grade/Teacher
(Jane, 2nd/Bilotta)
Your answer
Student 3 Name, Grade/Teacher
(Jane, 2nd/Bilotta)
Your answer
Student 4 Name, Grade/Teacher
(Jane, 2nd/Bilotta)
Your answer
Home Street Address *
Your answer
Town *
Your answer
Zip Code *
Your answer
Cell Phone:
(732) 555-5555
Your answer
Home Phone:
(732)555-5555
Your answer
Email Address: *
Your answer
Please choose at least one event that MIGHT INTEREST you this year: *
This is not a firm commitment, just looking for interests! : )
Required
What kind of VOLUNTEER WORK might you like to do? Please choose at least one. *
Again, this is not a firm commitment, just looking for interests! : )
Required
I would like our information put into the PTA Member Directory which is distributed to SLH PTA members only: *
Membership Fees
Payment options (Credit Card Payments must add $1.50 convenience fee) *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms