FESPTA Application Form

FESPTA Application Form

If you are interested in becoming a member of the Florien Elementary PTA, please print the form below, fill in the required information and submit the form, along with $5.00 to cover your annual membership dues, to any PTA officer or mail to the Florien Elementary PTA, P.O. Box 100, Florien, LA 71429-0100.

Application Form

Name: _____________________________________________

Address: ____________________________________________

          ____________________________________________

E-mail Address:_________________________

Phone Number: (____)__________

Children: Name: __________________________ Grade: ____

              Name: __________________________ Grade: ____

              Name: __________________________ Grade: ____

              Name: __________________________ Grade: ____

   Do you work? _______ Can you volunteer? _______

Thank you for getting involved!