PTA Membership Application
Please print the completed form before clicking submit and turn your dues into the front office. Thank you!

PTA welcomes you as a member, please complete the information below:

Primary role: *
Name: *
Your answer
Address: *
Your answer
Mobile/Cell: *
Your answer
Please text me about PTA meetings and updates *
Required
Home Phone: *
Your answer
Cell Phone: *
Your answer
Email: *
Your answer
Please email me about PTA meetings and updates *
Required
Student(s): *
Your answer
I am interested in volunteering to work on committees, please contact me *
Required
Membership Fee $10 *
Required
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