Application for PTA Membership, School Directory,
and E-Mail Notification
If you would like to join the PTA and/or be included in the school directory, please complete the following information.
Child # 1: Name, Grade, And Teacher: _____________________________________________
Child # 2: Name, Grade, And Teacher: _____________________________________________
Child # 3: Name, Grade, And Teacher: _____________________________________________
Parent's/ Guardian's Name: ______________________________________________________
__________________________________________________________
Address: _____________________________________________________________________
Home Telephone Number: _______________________________________________________
E-Mail Address: _______________________________________________________________
Signature: ____________________________________________________________________
Do you want to join the PTA? ________Yes ________No
($6.00 per person. This fee includes a school directory and one vote)
Do you want to be included in the school directory? ________Yes ________No
($6.00 fee, if you choose not to join the PTA, and only want the directory)
Please make checks payable to "Middlebrook PTA" and return it to school in an envelope, marked PTA Membership, in your child's backpack.
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Middlebrook E-Mail Notification System:
Do you want to be included in the Middlebrook Notification System: ________Yes ________No
(You will be alerted by email regarding school emergencies, announcements and school/PTA events)
E-Mail Address (Parent/Guardian #1): _________________________________________________
E-Mail Address (Parent/Guardian #2): _________________________________________________
The information you provide to us will be kept confidential, and will only be used for school announcements, activities, and events or in the case of a true emergency.