Membership in the PCPA is open to all families with students in the POB School District. Dues are $12/family and will be used to defray the cost of programming for students and parents throughout the year. Kindly complete the form below and send a check for $12 payable to the Project Challenge Parent Association to:
| Project Challenge Parent Association |
| c/o Betty Heiman |
| 155 Grace St. |
| Plainview, New York 11803 |
| Child's Name(s): | ______________________________ | |
| Parents/Guardians: | ______________________________ | |
| Address: | ______________________________ | |
| Phone: | ______________________________ | |
| Grade(s)/School(s): | ______________________________ | |
| E-Mail(optional): | ______________________________ | |
If you provide an e-mail address, the Project Challenge Parent Association will add your address to an e-mail list which will be used to keep you informed of meetings and events.
[ ] Yes, please use the above phone number to contact me with regard to PCPA events
| Signed | __________________________________ |