BAS PTA School Directory

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Please complete this BAS PTA School Directory for each child. You will be given the option to be included in just your class directory or included in the school directory as well.

Email *

Student Last Name *

Student First Name *

Teacher *

Home Address *

Guardian 1 First & Last Name *

Guardian 1 Email Address *

Guardian 1 Phone *

Guardian 2 First & Last Name

Guardian 2 Email Address

Guardian 2 Phone

Preferred Email Address Recipient(s)

Guardian 1

Guardian 2

Both

Would you like to be a Class Parent? *

Yes

Have you previously served as a Class Parent? *

Yes

Are you a BAS PTA Member? You need to renew each year! *

If you are not yet a member, please join! Visit our Member Hub and purchase your membership today: https://bloomingdale.memberhub.com/store

Yes

Directory Publishing: How would you like your information published (Please check all that apply) *

PTA Board's use

child's class directory

I give permission for my information to be published in the BAS PTA School Directory

Required

A copy of your responses will be emailed to the address you provided.

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