CCES PTA Registration Form 2018-2019
Email address *
Parent/Guardian #1 - LAST NAME, FIRST NAME *
Your answer
Parent/Guardian #2 - LAST NAME, FIRST NAME
Your answer
Child #1 - LAST NAME, FIRST NAME *
Your answer
Child #1 - Homeroom Teacher *
Child #2 - LAST NAME, FIRST NAME
Your answer
Child #2 - Homeroom Teacher
Child #3 - LAST NAME, FIRST NAME
Your answer
Child #3 - Homeroom Teacher
Indicate Your Donation Amount *
The suggested fundraising donation is $50 per family; however, please know that we would greatly appreciate any amount your family feels comfortable giving. Please pay this amount via PayPal.
If "Other," please fill in amount.
Your answer
Select Single or Family Membership *
Single PTA Membership is $10; Family PTA Membership is $15 - Single memberships will allow you to be active with the PTA, enjoy discounts with Maryland PTA partners, receive a membership card and a CCES magnet. Family memberships provide the same benefits as the single membership, but you will receive two membership cards and two magnets.
TOTAL AMOUNT = Donation + Membership *
Your answer
A copy of your responses will be emailed to the address you provided.
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