Pullenvale State School P&C Membership
Please complete and submit this form to confirm your membership of the Pullenvale State School Parents and Citizens Association for 2022
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I am: *
First Name *
Last Name *
Email *
Address *
Phone number
I'm a: *
If applicable, please confirm which year level your children attend at Pullenvale State School, otherwise select "Not Applicable": *
Required
If you selected "an adult interested in the school’s welfare", we will require your current Blue Card number:
In submitting this application to Pullenvale State School Parents and Citizens’ Association and I undertake to: *
Required
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