Name	Teacher	Grade
Student #1:
Student #2:
Student #3:
	Street Address	City	Zip
Address:
Parent's Names:
Parent's Emails:
Parent's Home Phone Number:
Parent's Cell Phone Number:
Number of years at South Bay:
Preferred Contact Method:	Phone Email Mail
Membership: $10 per member	Name	Email	Relation
Member #1 Name:
Member #2 Name:
PTA Membership includes membership card and access to exclusive member discounts with retailers nationwide. Dues are $10 per person or $20 for two. We encourage parents/guardians (dual membership funds more programs), grandparents, staff, and community members to join. Business Memberships are encouraged and provide a significant amount of funding to PTA programs. Questions? Please contact our membership coordinator at: sbptamembership@gmail.com
Business Membership: $50
Business Name:
Relationship to School:
PTA Donation
Donation Amount:	$
Questions? Please contact our membership coordinator at: sbptamembership@gmail.com