<p> 2016–2017 Membership Form</p><p>Adirondack Middle School PTSA – Please show your support by becoming a member today! Adults $6.00 Students $4.00 We are committed to making every child’s potential a reality by engaging and empowering families and communities to advocate for all children. You can help us reach our goal in this community by becoming a member. Our organization is a PTSA; Parent, Teacher, Student Association. We want our students to become involved now with learning communication skills and decision making. </p><p>Member(s) Household Information Address</p><p>City State Zip</p><p>Member #1 Information Name Email (required to send eCard)</p><p>Phone #1 Mobile # for Text messages Demographic Info (for awards) ( ) ( )  Male  School Emp.  New Member  Student Community Member</p><p>Member #2 Information Name Email (required to send eCard)</p><p>Phone #1 Mobile # for Text messages Demographic Info (for awards) ( ) ( )  Male  School Emp.  New Member  Student Community Member</p><p>Member #3 Information Name Email (required to send eCard)</p><p>Phone #1 Mobile # for Text messages Demographic Info (for awards) ( ) ( )  Male  School Emp.  New Member  Student Community Member</p><p>Member #4 Information Name Email (required to send eCard)</p><p>Phone #1 Mobile # for Text messages Demographic Info (for awards) ( ) ( )  Male  School Emp.  New Member  Student Community Member</p><p>Student Information Student Name Grade</p><p>Student Name Grade</p><p>Student Name Grade</p><p>Please let us know if you’d like more information on any of our programs, would like to volunteer, or have any suggestions or questions in the space provided below</p><p>For PTSA Use Only</p><p>______X $ ______= ______Payment Method:  Cash  Check # ______Date:______Number of Members Total Due Entered in NYS PTA Online Membership System Date:______Adirondack Middle School PTSA Membership Drive Meeting Date: September 19, 2016</p><p>Date: September 6, 2016 To: All Interested Persons From: Sandy Tagliamonte, President Re: Membership</p><p>Anyone can become a member; parents, grandparents, students, aunts, uncles, etc. You don’t have to be a member of our district to help support our school. </p><p>Please fill out the form attached and return to the office with your membership dues made payable to: ADK Middle School PTSA. The cost is $6.00 for adults and $4.00 for students. Your dues go toward funding our local programs and advocacy efforts, as well as the advocacy work that our State and National PTA carries out on behalf of all children. </p><p>We now also have a new automated system that makes it easy to support your PTSA, signup online at: www.nyspta.org/YourPTA/YourPTA_Membership_Unit_Lookup.cfm . Enter by zip code or school district. Choose 06-376 ADK Middle School PTSA. Select register. Complete the form and select pay online or send your payments to the main office marked: PTSA Membership. </p><p>Please direct any questions to: Sandy Tagliamonte at tagsmom3@gmail.com. </p><p>The PTSA’s first meeting of the school year will be on Monday, September 19th at 6:30pm in our middle school library. We will be holding elections as well as planning our calendar of events for the upcoming school year. I hope to see you there!</p>