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22-23 Centennial Academy PTA Membership Form
Thank you for your interest in the Centennial Academy PTA. All membership matters.
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* Indicates required question
Name (Adult)
*
Your answer
Email
*
Your answer
Phone number
Your answer
Please identify your CA affiliation
CA Parent
CA Faculty Member (Instructional)
CA Staff Member (Administration and Support)
Community Member
Other
Clear selection
All attendees who attended the Virtual PTA Info Session on 10/20/21 received a $10 membership waiver. Did you join this virtual call?
Yes
No
Clear selection
Please indicate how many PTA members are in your household.
Choose
1
2
More than 2
Other than yourself, please include additional PTA members in your household (names and email)
Your answer
Scholar's First Name
If you do not have a currently enrolled scholar, please list NA
Your answer
Scholar's Grade Level
If you do not have a currently enrolled scholar, please list NA
Your answer
Scholar's Homeroom Teacher
If you do not have an currently enrolled scholar, please list NA
Your answer
Are you interested in joining a committee?
More information is available upon selection
CA Dads
Communications
Curriculum
Executive Committee (President, Vice-President, Secretary, Treasurer)
Events
Fundraising
Membership
Wellness & Campus Beautification
Not at this time but keep me in the know!
Please place me where there is a need.
Do you have any ideas for the PTA this year?
Your answer
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