Bolton PTA Information Form, 2010-2011
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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.
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| Father's Name
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| Father's Address
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| Father's City/State/Zip
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| Father's Phone
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| Father's Email Address
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| Publish Father's Address
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Yes
No
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| Publish Father's Phone
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Yes
No
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| Publish Father's Name
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Yes
No
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| Publish Father's Email
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Yes
No
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A description of the section goes here.
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| Mother's Name
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| Mother's Address
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| Mother's City/State/Zip
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| Mother's Phone
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| Mother's Email Address
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| Publish Mother's Address
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Yes
No
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| Publish Mother's Phone
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Yes
No
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| Publish Mother's Name
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Yes
No
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| Publish Mother's Email
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Yes
No
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A description of the section goes here.
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| Child's Name
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| Grade
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| Homeroom
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| Child's Name
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| Grade
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| Homeroom
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| Child's Name
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| Grade
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| Homeroom
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| Child's Name
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| Grade
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| Homeroom
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| Child's Name
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| Grade
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| Homeroom
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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.
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| Name of PTA Members
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| Address
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| Town, State Zip
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PTA Membership:
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PTA Membership $6.00 Single / $10.00 Couple (enter
amount due)
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BCS Directory - Members $5.00 each (enter amount
due) (Teacher's get free copy)
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BCS Directory - Non-Members $7.00 each (enter
amount due)
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| PTA Calendar $6.00 each (enter total amount due)
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| PTA Note Pads $2.00 each (enter total amount due)
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| BHS Directory - Members $5.00 (enter amount due)
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BHS Directory - Non-Members $7.00 each (enter
amount due)
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| Total amount of check for membership & orders:
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(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.
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| Homeroom to use to send above items to:
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If you are a Bolton teacher or staff member,
please put yes here:
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Image
Verification
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