Membership Form


 


If you would like to join LRJH PTA, please fill out the information
below and send in payment with your child. Note--please make checks
payable to LRJH PTA and mark envelopes clearly with PTA. Thank you!

  • 1) Name
    Answer:
  • 2) Address
    Answer:
  • 3) Phone #
    Answer:
  • 4) Email
    Answer:
  • 5) Child(ren) name and teacher
    Answer:
  • 6) Membership type



  • 7) I am interested in volunteering
  • 8) I have a comment/suggestion (enter below)