Please fill out ALL information on this form and submit it with your class funds to 

Sabrina Bickoff by October 1st

631-860-3014

sbickoff617@gmail.com

This document is a blank live template. Before entering information, follow these instructions:

Go to File, click on Make a Copy 

Name as - Teacher's Name and Grade - Class List 

Delete this the information in this box before sending to your whole class. 

Send to the Harley PTA Inbox when completed

For parents who select to share their information, email contact list out once it's completed

• When sending the list to the class remove the last 2 columns and anyone who wishes not to be shared