Name: PTA Meeting & Volunteer Fair
Start: 2017-09-19T22:30:00+00:00
End: 2017-09-19T23:30:00+00:00

Child's Name*
First Last
Parent Name
First Last
Parent Email
Parent Phone
Please provide your address for credit card processing
Street Address Address Line 2 City State ZIP Code
Tickets (Chaperones need to purchase tickets as well)
- I can pay $50 for my child
- I can pay $55 to help support another child
- I am chaperoning and need a ticket
The cost of this trip is $50 per child and includes the ticket and subway fare. You may also opt to pay an additional $5 to help offset this expense for another family. If your family could use assistance please email Jeremy.
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

PS 321 - 180 7th Avenue, Brooklyn NY 11215 - 718-499-2412

Jeremy Greensmith School Of Rock Trip