Covington, La

Be a star and help us "Shine in '09!"

Join the PTA.

Click here for PTA information.

Student's Name: _______________________________________________

Homeroom: ___________________________________Grade: __________

Please list the member name and their relationship to the student. We encourage all relatives to join.

Member's Address: ___________________________________________________

Home Phone: _______________________ Work Phone: _____________________

Cell Phone: ________________________ Email Address: ____________________

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CORPORATE SPONSORS: (Up to 2 cards)

Membership Name(s): _________________________________________________

Address: ____________________________________________________________

Phone: _____________________________ Fax: ____________________________

Please print this page and turn it in to the office.