Name: _______________________________________________________________

Address: _____________________________________________________________

City: ________________________ State: ____ Zip: _______ Phone: _____________

E-mail: ______________

I wish to support AAPA's efforts to help all families who wish to be educationally involved. Enclosed is my one year contribution of:
____$20 - Membership fee. Benefits include the AAPA's newsletter, voting prevelages, and mailings concerning special events.

AAPA uses all donated funds for newsletters, parent seminars, scholarships etc. There are no administrative costs. Larger donations are always welcomed, and all contributions are appreciated and needed.
____Other donation. Amount $ ____________

AAPA is a nonprofit, tax-exempt organization. Your contribution is tax-deductible. AAPA policies are determined by a board of directors comprised of parents such as yourselves.

Will you share with us information about your family? (Your answer will be held in strictest confidence.)
Number of children going to schools: ________

Name of Schools your children attend: ______________________________________________________________

School Activities You are involved: ______________________________________________________________

Would you mind if we contact you about becoming involved with AAPA (Yes/No):_______