MEMBERSHIP

Membership Registration Form
 

Don't Wait! Participate!

Join the PTA

Annual Dues

Parent/Guardian

$5.00

Teacher

$5.00

Community Member

$5.00

Business Member

$25.00

Yes, I want to join the PTA

Enclosed is $ for membership dues.


Name (please type or print clearly)


Address


City/State/Zip


Phone

If you are a parent, please also provide the following information:

Child/Children


Grade(s)


Room Number(s)

Please contact me
The best time to reach me is:

Please complete this form, print it out, and return to:

PTA
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