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2013-14 McCord PTA MEMBERSHIP AND STUDENT DIRECTORY

 

Welcome to the McCord PTA!  We believe that working together with the teachers and staff at McCord we will provide the best learning experience for our children!  

 

The cost of PTA membership with the directory is $12.00.  Please complete this form and return it with your payment by September 1, 2014. If you would like only the PTA Membership or only the Directory (ora dditional directories), please mark the appropriate line. 

 

_____PTA Membership and Directory @ $12.00 per family                    $__________

_____PTA Membership Only @ $6.00 per family                                    $__________

_____Directories(only or additional) @ $6.00/directory                        $__________

                                                                                    TOTAL                 $__________

 

Student’s Name__________________________________ Grade______________

Parent’s Name(s) ____________________________________________________

Address___________________________________________________________

Phone Number_______________________________________________________

Email address(es)____________________________________________________

 

STUDENT DIRECTORY INFORMATION

 

The directory will include your child’s name(s), parent(s) name(s), address, phone number and email address as indicated on the school enrollment forms.  If you DO NOT wish any or all of this information included in the directory, you must complete, sign, and return this form by September 1, 2014.  Please check or fill in the appropriate line below, and be sure to indicate if your name is different from your child’s.  (If we do not receive this signed form, your child/children WILL automatically be included in the directory.)

 

________      Please DO NOT place my child’s name, parent’s name, address, phone number or email address in the directory.

           

________      Please include the following non-custodial parent information:

Name:____________________________________________________

Address:__________________________________________________

                      PhoneNumber: ______________________________________________

 

________      Pleasemake sure my child’s name(s) appear as follows:

Name on enrollment form                              As you want it to appear in directory

Child#1          _________________                      _____________________

Child#2         _________________                      _____________________

Child#3         _________________                      _____________________

 

Parent Signature________________________________________________________

                        

If you have questions, please contact Dina Biglin at mamadinab@columbus.rr.com.