Please fill out this form and return it to your child’s teacher or the school office.
Child’s Full Name: _____________________________Grade/Teacher: ____________________________
2nd Child’s Full Name: ___________________________Grade/Teacher: ____________________________
3rd Child’s Full Name: ___________________________Grade/Teacher: ____________________________
Parent/Guardian Name:____________________________ e-mail: _____________________________
Parent/Guardian 2 Full Name:________________________e-mail: _____________________________
Language(s) Spoken at Home: ____________________________________________________________
Phone Number(s): home:________________work/cell: ____________________cell#2: ________________
Check here if you would like to be on a general volunteer list __________
Do you speak other languages? If so, can you help with translation? Please check here __________
At Barcroft, we consider all of our families to be members of the Barcroft PTA. To become an official member of the National PTA, the Virginia PTA, and the Barcroft PTA, please enclose $5.00 per adult or $10.00 per couple.
Cash: $ _____________Check Amount: $ ____________ (make checks payable to “Barcroft PTA”).
Optional Membership Donation (to defray membership costs) $__________