Pinewood Elementary

PTO REGISTRATION FORM

______ Yes, I want to be a member of the Pinewood Elementary PTO.

***Any information completed below is for PTO Executive Committee purposes only.  Information will not be disclosed publicly or to other PTO members.***

Parents’ Names:  _____________________________________________

(Please print)

Home Phone:  ______________________

Child’s Name:  _____________________  Grade:  ________

Teacher:  __________________________ 

Child’s Name:  _____________________  Grade:  ________

Teacher:  __________________________

Child’s Name:  _____________________  Grade:  ________

Teacher:  __________________________

The best way to contact you is:

_____ Home

_____ Work (father)   Number: ________________

_____ Work (mother) Number: ________________

_____ Mobile (father) Number:  _______________

_____ Mobile (mother) Number:  ______________

Would you prefer to receive notices regarding membership & PTO matters by:

_____ Child’s folder

_____ Email  -  Address: _________________________________

Comments or Questions:  ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Please make check payable to Pinewood Booster Club.  Thank you!