Byram Hills Preschool Association Membership 2009-2010
Send in Your Membership Dues Today
The Byram Hills Preschool Association is a not-for-profit organization established to benefit
preschool age children, their parents and caregivers. With over 300 member families throughout the Byram
Hills School District, we strive to provide an array of social, cultural and educational activities for our members.
In addition, through our fundraising efforts, we offer donations to local community organizations and programs that
relate directly to preschoolers.
Please
check out our website at BHPA.info
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Please Note: This information will be used in the 2009-2010 Member Directory
Mom’s Name______________________________
Dad’s Name ________________________________
(first, last) (first, last)
Street Address_____________________________________Town________________ Zip __________
Phone_________________ E-mail
______________________________________________________
Please list all children living at home, even those who are not of preschool age.
Child’s Name
Birth Date Pre
School (if applicable)
____________________
_______________
____________________________
____________________
_______________
____________________________
____________________
_______________ ____________________________
____________________
_______________ ____________________________
____________________ _______________
____________________________
New
Member? Yes___ No___
If you moved to the area recently, would you like a “Welcome Packet?” Yes___
No ___
Would you prefer to receive your monthly newsletter via email? Please choose one:
Yes ___ No ___
Check here if you want to be contacted for volunteer opportunities within our organization _____
Are you a working parent? Yes_______ No_______
Please send your $40 annual membership dues (check made payable
to BHPA) along with this completed form to
BHPA c/o Sabrina Christiansen
20 Suzanne Lane
Pleasantville, NY 10570
(There
will be a $30 fee charged for all returned checks.)
The Byram Hills Preschool Association (BHPA) disclaims liability for any injury or damage
incurred by a participant (or spectator) in any BHPA activities, including but not limited to, the annual fall carnival, the
holiday parties, the monthly arts and crafts projects and the playgroups. BHPA members and their invitees
assume the risks associated with their presence at all BHPA events. The BHPA reserves the right to photograph
or record members for future promotional use. The undersigned hereby authorizes the BHPA to use
photos taken of me and/or my child/children in any printed or electronic materials issued by or on behalf of the BHPA, including
but not limited to the monthly newsletter, flyers, bulletins, press releases, email communications and the BHPA website. I
also acknowledge that photos may be taken of me and/or my child/children at BHPA events by members of the media and utilized
publicly by the media with or without the consent or input of me or the BHPA.
_______________________________________
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