The LVC/PMTA Play-a-Thon Registration

http://lvpmta.org/html/webForms/forms/p-a-tStu...

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Teacher's First Name: Teacher's Last Name: Teacher's Phone: Teacher's E-Mail: Select your preferred day and time span. You must make three choices in order of preference. First Choice: Second Choice: Third Choice:

Complete the form then click the "submit" button at the bottom of the page. You will be directed to a "Thank You" page if your form was processed correctly. A conrmation email from Randi Paul will follow shortly. H a v i n g p ro g l e m s , c a l l Jack @ 610-691-5544

Saturday

From:

10:00 AM

Until:

10:30 AM Saturday
From:

10:00 AM

Until:

10:30 AM Saturday
From:

10:00 AM

Until:

10:30 AM

Check this box if you require two different time slots on either or both days. Make your request and an explanation here:

Check your choice of venue. Venues will be assigned on a rst come, rst served basis. Center Court Freeman's BonTon If you have questions about submitting this form via the web, contact Randi Paul, 610-360-0149. For ALL other Play-a-Thon questions, contact Lori or Cherie (contact information below). Please list your student names. They must be in alphabetical order by last name. First Name: Last Name

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http://lvpmta.org/html/webForms/forms/p-a-tStu...

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PLAY-A-THON COMMITTEE: Lori Huth, sukpiano@entermail.net, 610-759-6817 Cherie Murray, cherieandtom@verizon.net, 610-967-1067 Randi Paul, rpaul@ptd.net, 610-360-0149

Submit
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The LVC/PMTA, its executive board, and membership are solely responsible for the content on this website. The design and graphics are the sole property of John R. Stevenson, DJD and cannot be copied or used without his written and expressed permission.

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