Snapper Creek Elementary PTSA by HC12101107378

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									                              Membership Registration Form
Registration Date: ____________________         Parent _____ Teacher _____ Student _____ Other _____

                                 ________                                                 _______
                                 MEMBER INFORMATION
First                                             Last
Name                                              Name


Phone #                                   Email Address:



_____________________________________________________________________________________________
                                  ADDITIONAL MEMBERS
              NAME                                                    RELATION TO STUDENT




_____________________________________________________________________________________________
                                 STUDENT INFORMATION
               NAME                                           TEACHER                    GRADE

_____________________________________         __________________________________       __________

_____________________________________         __________________________________       __________

_____________________________________         __________________________________       __________

                  Please note that the membership cost is $5.00 per member.
           Please return this registration and payment (in cash) to your child’s teacher.
                           Thank you for your cooperation and support.
             If you have any questions, you may contact us at sceptsa@bellsouth.net

								
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