Become A Member - SEPTA Oceanside, NY 11572

Become A Member

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Please print this document using your browser's print button. Complete and mail it to the address below. SEPTA (Special Ed PTA) MEMBERSHIP FORM

Name:	___________________________________

Address:	___________________________________

	___________________________________

Home School:	___________________________________

Phone:	___________________________________

e-mail:	___________________________________

Student's Name:	___________________________________

Student's School:	___________________________________

In order to develop a parent network and informative presentations & workshops please indicate any behavioral, medical, school related issues that affect your child & your family. (i.e. specific diagnosis, learning disabilities, homework, stress management, working with teachers)

________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Family membership $10.00 PLEASE MAKE CHECKS PAYABLE TO OCEANSIDE SEPTA and send to: SEPTA
145 Merle Ave
Oceanside, NY 11572
(or bring to a SEPTA meeting)

Email: info@SEPTAOceanside.com