
JOIN US!
Name:
Address:
City: State: Zip:
Phone:
*Email:
Age(s) and School(s) of children with/without special needs:
□IM □KES □LES
□MP □JJMS □JJHS
□No children in district (this is important for us to know for mailings)
Topics of Interest:
*Note: We will periodically send email reminders. Please clearly write email to ensure receipt of SEPTA notices!
Please make your $10 (individual membership) or $15 (family membership) check payable to:
Katonah-Lewisboro SEPTA (Special Education PTA) and mail, along with this application, to:
SEPTA
P. O. Box 475
Goldens Bridge, N.Y. 10526
JOIN OUR EMAIL LIST!
Fill out the following information to receive periodic updates about SEPTA events.
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