TJMS PTA Online Membership Form
The following form will be used to collect and/or verify your address and other information for TJMS PTA membership. Membership dues are $10 per teacher and $15 per family*. You may pay online or send a check (made out to the TJMS PTA) via backpack mail.
After you fill out this form and click on the submit button. You will see the link to the TJMS PTA Store where you can pay online. If you pay online please type your last name when you check out in "Write a Note to Seller".
* Required
*We want membership in the PTA to be accessible to all TJ Families. If the dues payment would prevent you from joining, please check here to have the fee waived.
Please waive $15 fee
Family Name
*
Your answer
Parent 1 - First & Last Name
Your answer
Parent 2 - First & Last Name
Your answer
Teacher Name (this is only for Jefferson teachers who wish to join)- First & Last
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Email
Your answer
Phone
Your answer
Student #1
Your answer
Grade of Student #1
Your answer
Student #2
Your answer
Grade of Student #2
Your answer
I am interested in helping with (check all that apply)
Fundraising co-chair
The Harvest Festival (Oct event)
International Night Basket Raffle (April event)
Jefferson PTA Scholarship
CCPTA Representative
Read-A-Thon
Used Book Fair co-chair
Website Support
Honor Role Celebrations
Parent Teacher Conference Lunch (Oct & March)
Advisory Council on Instruction (ACI) Rep
Science Fair Judge
8th Grade Promotion
PTA Reflection
Restaurant Nights (Dogfish Head and/or Silver Diner)
Teacher Appreciation Week
Box Tops Coordinator
In the garden
Community Support: Food Bus, Clothes Closet, etc.
School photos
Sign up for TJMS list serve?
Yes
No
Clear selection
Sign up for the Buzz (weekly TJMS newsletter)?
Yes
No
Clear selection
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