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 2010-2011 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 like to receive community news from “allaboutarmonk.com?” (Email lists will be kept private.)      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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