If you would like to support the Jefferson PTA, please print out the form below and return it, along with your payment, to your child's teacher or to the school office.  Please make checks payable to Jefferson PTA. Thanks!

PTA Membership Form 

Yes!  I'd like to join the Jefferson Elementary PTA!  I have enclosed $6.00 for one membership or $10 for two:

Name:  __________________________________________ Phone: ___________________

Name:  __________________________________________ Phone: ___________________

I/We have the following children attending Jefferson:

Child's Name:  ___________________________________________ Grade: ____________

Child's Name:  ___________________________________________ Grade: ____________

Child's Name:  ___________________________________________ Grade: ____________

Suggestions/Comments:

________________________________________________________________________

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