Section 1 of 3
VVPC Annual Membership Form
Please provide all information with a red star. Other lines are optional but help us to get the most accurate information. The information you provide here is for VVPC use only and will not be shared with others.
Email
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Member First Name
Member First Name
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Date
Time
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Member Last Name
Member Last Name
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Address
Address
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Email notifications: Would you like to be included in VVPC emails so that you are kept informed of upcoming school events? (You can opt out at any time thereafter)
Email notifications: Would you like to be included in VVPC emails so that you are kept informed of upcoming school events? (You can opt out at any time thereafter)
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Date
Time
Yes, include me!
No, I do not want to receive email notifications.
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or
add "Other"
…
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Phone: (with area code)
Phone: (with area code)
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Phone number listed is my
Phone number listed is my
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Home phone
Work phone
Cell Phone
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add "Other"
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Did you know we have a Facebook group? Look for us at: https://www.facebook.com/groups/541352759346584/
Did you know we have a Facebook group? Look for us at: https://www.facebook.com/groups/541352759346584/
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Time
Yes, I'm a part of it!
No, I'm not on Facebook
No, I'd rather not be a member of the FB group.
Other…
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…
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Section 2 of 3
Children attending Valley View
PLease list the children you have attending Valley View
1st Child's name: (first & last)
1st Child's name: (first & last)
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Time
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Grade for 2019-2020 school year for 1st Child
Grade for 2019-2020 school year for 1st Child
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Date
Time
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Grade
Rows
1.
Grade
2.
Add row
Columns
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Add column
…
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(0 points)
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Teacher for 2019-2020 school year for 1st Child
Teacher for 2019-2020 school year for 1st Child
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Paragraph
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Dropdown
File upload
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Checkbox grid
Date
Time
Ms. Aviles
Mr. Berrechid
Ms. Bryant
Ms. Comacho
Ms. Cossette
Mrs. Farrell
Mrs. Linski
Ms. Lyda
Mr. Monson
Ms. Mosby
Mr. Moseley
Ms. Rixford
Ms. Sui/Ms. Marymor
Ms. Toma
Ms. Viviana
Ms. Watkins
Ms. Zemke/Ms. Marymor
Add option
or
add "Other"
…
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Second child (as applicable)
Second child (as applicable)
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2nd Child's name: (first & last)
2nd Child's name: (first & last)
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Paragraph
Multiple choice
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Date
Time
Answer key
(0 points)
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Grade for 2019-2020 school year for 2nd Child
Grade for 2019-2020 school year for 2nd Child
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Grade
Rows
1.
Grade
2.
Add row
Columns
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Add column
…
Answer key
(0 points)
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Teacher for 2019-2020 school year for 2nd Child
Teacher for 2019-2020 school year for 2nd Child
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Ms. Aviles
Mr. Berrechid
Ms. Bryant
Ms. Comacho
Ms. Cossette
Mrs. Farrell
Mrs. Linski
Ms. Lyda
Mr. Monson
Ms. Mosby
Mr. Moseley
Ms. Rixford
Ms. Sui/Ms. Marymor
Ms. Toma
Ms. Viviana
Ms. Watkins
Ms. Zemke/Ms. Marymor
Add option
or
add "Other"
…
Answer key
(0 points)
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Third child (as applicable)
Third child (as applicable)
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3rd Child's name: (first & last)
3rd Child's name: (first & last)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
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Grade for 2019-2020 school year for 3rd Child
Grade for 2019-2020 school year for 3rd Child
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Grade
Rows
1.
Grade
2.
Add row
Columns
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Add column
…
Answer key
(0 points)
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Teacher for 2019-2020 school year for 3rd Child
Teacher for 2019-2020 school year for 3rd Child
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Ms. Aviles
Mr. Berrechid
Ms. Bryant
Ms. Comacho
Ms. Cossette
Mrs. Farrell
Mrs. Linski
Ms. Lyda
Mr. Monson
Ms. Mosby
Mr. Moseley
Ms. Rixford
Ms. Sui/Ms. Marymor
Ms. Toma
Ms. Viviana
Ms. Watkins
Ms. Zemke/Ms. Marymor
Add option
or
add "Other"
…
Answer key
(0 points)
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Section 3 of 3
Volunteer Opportunities
Not Required to be a VVPC member but very much appreciated! We also understand if things change with your availability in the months to come. This is to simply gather information on who may be interested to assist with activities.
Are you interested in volunteering in any capacity?
Are you interested in volunteering in any capacity?
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Date
Time
Yes
No
Maybe
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or
add "Other"
…
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What time of day works best for you to volunteer?
What time of day works best for you to volunteer?
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Date
Time
Before school
During school
After school
Only from home
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or
add "Other"
…
Answer key
(0 points)
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