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The following form will be used to collect and/or verify your information for PTSA membership. Complete in full.

* SEE THE INSTRUCTIONS TO THE LEFT *



 (mm/dd/yyyy)

















Yes
No

LHS Parent
LHS Staff/Teacher
LHS Student
Community member
I have received the Texas PTA Lifetime membership award

9
10
11
12









Yes
No

LHS Parent
LHS Staff/Teacher
LHS Student
Community member
I have received the Texas PTA Lifetime membership award

9
10
11
12









Yes
No

LHS Parent
LHS Staff/Teacher
LHS Student
Community member
I have received the Texas PTA Lifetime membership award

9
10
11
12









Yes
No

LHS Parent
LHS Staff/Teacher
LHS Student
Community member
I have received the Texas PTA Lifetime membership award

9
10
11
12









Yes
No

LHS Parent
LHS Staff/Teacher
LHS Student
Community member
I have received the Texas PTA Lifetime membership award

9
10
11
12