Bais Yaakov PTA 2019-2020
Membership and Pizza Online Order Form

Help Bais Yaakov PTA enhance our daughters' school experience!

Become a member of the PTA today* - Your participation makes a difference!

*Pay your membership dues before Rosh Hashana to be entered into a raffle for a

$50 Amazon Card (3 winners).

General Information

Parent's First Name *

Parent's Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Home Phone Number

Cell Phone Number

Email Address *

Please check off the grade levels of all daughters presently in Bais Yaakov (whether or not you are ordering pizza for them). *

PTA Membership

Your Annual Dues help fund our many wonderful programs

$18.00 - Family Sponsorship

$36.00 - Project Sponsorship

$54.00 - Trip Sponsorship

I would like to help support all the wonderful programs throughout the year with an additional donation to the PTA.

We need your help!

Become a Bais Yaakov PTA Volunteer!

I would like to volunteer

As the need arises throughout the year, we contact mothers who have indicated they would like to volunteer for different projects. Initial contact is usually made via e-mail; if you do not have e-mail or do not regularly check your e-mail, please indicate here so we can contact you by phone.

Do you check your email regularly? *

Yes

No

Best number to reach me: *

I am interested in the following volunteer opportunities (Check all that apply)

Class mother: parent representative for teacher Chanukah gifts and more

Counting box tops

PTA Table: selling Bais Yaakov hoodies at the PTA table during these events

PTA Pizza Day pizza distribution

Mall Night: sell pizza and manage the raffle tables at Mall Night

Chocolate Sale: one-hour commitment distributing chocolate to students in school

Graphic Design: designing flyers for PTA events and/or programs

Event Planning

Lice Checking: stipends available

Graphic Design: designing flyers for PTA events and/or programs

More substantial (time-consuming) projects

Possibly—contact me with opportunities Possibly—contact me with opportunities

I am available on (Check all that apply): *

I am available to help(Check all that apply): *

From home

At Bais Yaakov during school hours

At PTA events outside of school hours

Other Other

PTA Pizza (Grades Pre-Nursery - 4)

PTA serves pizza (regular pizza, not whole wheat) once a month on designated Fridays to girls who have pre-ordered. Would you like to order pizza ($2.50/slice) for your daughter(s) in grade(s) Pre-Nursery - 4 ? *

Yes

No

Personal Sized gluten-free pizzas are available for $12.50. If you would like to order gluten-free pizza please call Mrs. Engel at 410-262-5603

Yes

No

If you are in need of financial assistance, please contact Rabbi Sanders or Rabbi Stein.

Pizza Order for 1st Child

First Name *

Last Name *

Homeroom/Teacher *

Please enter the number of slices ordered for each pizza day (e.g. 2 for September, 2 for November st, 0 for November 15th, etc. Please be sure to leave the box blank, or type "0" if you are not ordering pizza one month).

	September 20th
	November 1st
	November 15th
	December 13th
	January 10th
	February 14th
	March 27th
	April 24th
	May 15th
	June 5th

Additional Child? *

Yes

No

Pizza Order for 2nd Child

First Name *

Last Name *

Homeroom/Teacher *

Please enter the number of slices ordered for each pizza day (e.g. 2 for September, 2 for November st, 0 for November 15th, etc. Please be sure to leave the box blank, or type "0" if you are not ordering pizza one month).

	September 20th
	November 1st
	November 15th
	December 13th
	January 10th
	February 14th
	March 27th
	April 24th
	May 15th
	June 5th

Additional Child? *

Yes

No

Pizza Order for 3rd Child

First Name *

Last Name *

Homeroom/Teacher *

Please enter the number of slices ordered for each pizza day (e.g. 2 for September, 2 for November st, 0 for November 15th, etc. Please be sure to leave the box blank, or type "0" if you are not ordering pizza one month).

	September 20th
	November 1st
	November 15th
	December 13th
	January 10th
	February 14th
	March 27th
	April 24th
	May 15th
	June 5th

Additional Child? *

Yes

No

Pizza Order for 4th Child

First Name *

Last Name *

Homeroom/Teacher *

Please enter the number of slices ordered for each pizza day (e.g. 2 for September, 2 for November st, 0 for November 15th, etc. Please be sure to leave the box blank, or type "0" if you are not ordering pizza one month).

	September 20th
	November 1st
	November 15th
	December 13th
	January 10th
	February 14th
	March 27thth
	April 24th
	May 15th
	June 5th

Additional Child? *

Yes

No

Pizza Order for 5th Child

First Name *

Last Name *

Homeroom/Teacher *

Please enter the number of slices ordered for each pizza day (e.g. 2 for September, 2 for November st, 0 for November 15th, etc. Please be sure to leave the box blank, or type "0" if you are not ordering pizza one month).

	September 20th
	November 1st
	November 15th
	December 13th
	January 10th
	February 14th
	March 27th
	April 24th
	May 5th
	June 5th

Credit Card

Our orders are processed by PayPal. Once your form has been submitted you will be forwarded to PayPal where you will then enter in your payment information.

Pre-Nursery	Nursery	Kindergarden
1st Grade	2nd Grade	3rd Grade
4th Grade	5th Grade	6th Grade
7th Grade	8th Grade	9th Grade
10th Grade	11th Grade	12th Grade