PTO MEMBERSHIP DRIVE FORM 
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PARENT NAME *
EMAIL *
PHONE NUMBER  *
STUDENT NAME  *
GRADE *
STUDENT NAME
GRADE
STUDENT NAME 
GRADE
STUDENT NAME 
GRADE
PLEASE SELECT MEMBERSHIP TYPE:
OPTION 1: FAMILY MEMBERSHIP $15
OPTION 2: FAMILY MEMBERSHIP, BUT “DO NOT CALL ME TO VOLUNTEER” $25
OPTION 3: ANY DONATION AMOUNT IS APPRECIATED 
*
PAYMENT TYPE *
PLEASE CLICK ON PAYPAL LINK AFTER YOU SUBMIT FORM IF PAYING VIA CREDIT CARD 
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