Bolton PTA Information Form, 2010-2011

In order for your child to be included in the directory, you must return this completed form by Friday, October 1st.

We need only one form per family. If you don’t fill out a form this year or if you miss our deadline, we will use information from last year's directory.
Father's Name
Father's Address
Father's City/State/Zip
Father's Phone
Father's Email Address
Publish Father's Address
 Yes 
 No 
Publish Father's Phone
 Yes 
 No 
Publish Father's Name
 Yes 
 No 
Publish Father's Email
 Yes 
 No 

A description of the section goes here.
Mother's Name
Mother's Address
Mother's City/State/Zip
Mother's Phone
Mother's Email Address
Publish Mother's Address
 Yes 
 No 
Publish Mother's Phone
 Yes 
 No 
Publish Mother's Name
 Yes 
 No 
Publish Mother's Email
 Yes 
 No 

A description of the section goes here.
Child's Name
Grade
Homeroom
Child's Name
Grade
Homeroom
Child's Name
Grade
Homeroom
Child's Name
Grade
Homeroom
Child's Name
Grade
Homeroom

Part 2: PTA MEMBERSHIP/CALENDAR/DIRECTORY ORDER FORM

Becoming a member of the Bolton PTA helps promote quality education. Your membership fee supports programs that benefit Bolton students, teachers, and families.

The PTA calendar is filled with important school-related activities, including vacation days, and also features artwork by our very own BCS students.

PTA school message pads have been created to make parents’ lives easier! The pads contain 50 sheets for communicating with your child’s teacher regarding appointments, pickups, bus schedule changes, etc.
Name of PTA Members
Address
Town, State Zip

PTA Membership:

PTA Membership $6.00 Single / $10.00 Couple (enter
amount due)
BCS Directory - Members $5.00 each (enter amount
due) (Teacher's get free copy)
BCS Directory - Non-Members $7.00 each (enter
amount due)
PTA Calendar $6.00 each (enter total amount due)
PTA Note Pads $2.00 each (enter total amount due)
BHS Directory - Members $5.00 (enter amount due)
BHS Directory - Non-Members $7.00 each (enter
amount due)
Total amount of check for membership & orders:

(Make checks payable to “Bolton PTA” and send in with your child, no need to print this form out. Items will not be delivered until a check is received.
Homeroom to use to send above items to:
If you are a Bolton teacher or staff member,
please put yes here:
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