Membership Form


Frank Sinatra School of the Arts, ATTN: PTA

35-12 35th Avenue, Astoria, NY 11106


Frank Sinatra School of the Arts Parent Teacher Association

Contribution and Member Database Form

2012 - 2013


Completion of this form is purely voluntary, and is NOT a condition of PTA membership, as per Chancellor’s regulation A-660, all parents and those who stand in parental relation to a student at FSSA are automatically members of the PTA. Some of the intended uses are workshop planning, membership database creation, mailing lists, email notification and buddy/telephone lists.

No information will be released for purposes unrelated to FSSA PTA business.


Name: ___________________________________________________________________________________


Address: ________________________________________________________________________________


Home Phone: ____________________________      Work Phone: __________________________________


Cell Phone: ______________________________      E-mail Address: _______________________________


Child (ren) attending FSSA as of September 2011:

             Name                                      Grade                                          Studio 

______________________________        ___________               __________________________

______________________________        ___________               __________________________



Contribution Enclosed: Basic $25_____ Friend: $50_____ Supporter: $75_____ Sponsor: $100-$299_____


Donor: $300-$499_____ Benefactor: $500 - $999_____ Patron: $1000 & up _____ Other: $__________




Pursuant to Chancellor's Regs. A donation is not required to be a PTA Member.


***Make checks payable to: FSSA PTA*** Thank you!



Do you have any previous PA/PTA/School committee experience that you would like to contribute to FSSA? ______________________________________________________________


Your interests/talents/hobbies that you would be willing to share (i.e. computers, sewing, dancing, etc.):________________________________________________________________


What topics are you interested in exploring for yourself? ______________________________________________________________________________________


What topics would you like to see the Parent Teacher Association address? _____________________________________________________________________________________


Areas of Interest: Please check if you are willing to volunteer as needed for PTA Committees:


 ? Special Events          ? Fundraising               ? Studio Liaison