Name      Home Phone #

Address     Work Phone #

E-mail      Cell Phone #

2005-2006 PTA position

Children at REL 1.      Grade: 9 10 11 12

                     2.      Grade: 9 10 11 12

                     3.      Grade: 9 10 11 12

Birthday
 

Committees on which you would consider serving:

Academic Incentives      Athletic Liaison      Back to school Bash
Bylaws      College Signs      Campus Beautification Contact
Cultural Arts      Drug Education      Freshman Orientation Liaison
Historian      Homecoming      Hospitality/Teacher Appreciation
Membership      New Student Orientation      Newsletter Editor
Newsletter Mailing      Publicity      Scholarships
Senior Activities      Solicitations      Student Directory
Student Privileges      Teacher Lunch      Teacher Week
TISD Council Delegate      Volunteer Coordinator
 

I prefer contact by e-mail     mail      phone

It is OK     Not OK    to publish my home phone # in the REL
Student Directory and/or Newsletter.

You may return this form online or mail to:

L. White  3815 Arlington Dr.  Tyler, TX  75701