*For ArPTA members only*
 ArPTA Membership E-mail Database Initiative

 In an attempt to facilitate better communication, the ArPTA requests that each member submit their name and e-mail address using the form below so that a membership e-mail database can be created, maintained, and used by the ArPTA and it's membership.   Your information will be automatically sent to the ArPTA office by completing the form below.  
Thank You,  ArPTA Executive Board
(approved by the membership at the Spring 2004 Business Meeting)

Your Name (required)  

Your E-mail Address (required) 

Classification:  PT, PTA, or student (for tracking purposes only)

(NOTE:  The ArPTA will protect your privacy.  Your name and e-mail address will only be used for official business of the ArPTA)

Phone number you can be reached at to confirm the validity of the address or to correct errors, as needed.