Join Us at PaCK!

First Name
Last Name
Mailing Address
Address (cont.)
City
State
Zip Code
Home Phone
E-mail
Child's Name, grade
Child's Name, grade
Child's Name, grade

(If more than 3 children, include in "comments" section)

What committees would you like to be on?

High School
Middle School
Intermediate and Elementary
Community Resources
Scholarship Selection
Board of Directors

Other comments/input: