H&SA FAMILY MEMBERSHIP FORM

 

PARENT OR GUARDIAN(S) _____________________________________________________

PHONE ___________________________________________

STUDENT NAME _________________________________________

GRADE ______________________

TEACHER AT SHADY GROVE _______________________________________________

 

 

Please enclose enrollment form along with $10.00 dues (checks payable to Shady Grove H&SA) in an envelope marked H&SA dues and return to your child's teacher.  This money helps to fund all the many exciting programs that the students participate in al year long.  Thank you for your support!

 

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