Local Pta Unit Participation Form

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Local PTA Unit Participation Form
OFFICIAL PTA/PTSA NAME: ______________________________________ NATIONAL 8-DIGIT ID NUMBER: ___________________
REFLECTIONS CHAIR NAME: _____________________________ PHONE: __________________ EMAIL: _______________________
CITY: ________________________________________________ STATE: __________________ ZIP: __________________________
TOTAL SCHOOL ENROLLMENT: __________
CHECK ALL DIVISIONS THAT YOUR PTA/PTSA REEFLECTIONS PROGRAM OFFERED:
__ Primary (Grades PK-2) __Intermediate (Grades 3-5) __Middle School (Grades 6-8) __ High School __ Special Artist (All Grades)
By division, how many entries did your PTA receive in each arts category?
Dance
Film
Music
Literature
Photography
Visual Arts
Total
Choreography
Production
Composition
Primary
Intermediate
Middle School
High School
Special Artist
Total
GRAND TOTAL NUMBER OF ENTRIES RECEIVED: __________________
By division, how many entries did your PTA advance to the next judging round in each arts category?
Dance
Film
Music
Literature
Photography
Visual Arts
Total
Choreography
Production
Composition
Primary
Intermediate
Middle School
High School
Special Artist
Total
GRAND TOTAL NUMBER OF ENTRIES ADVANCED: __________________

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