2016-2017 MJHS PTSA Membership
Please fill out the following form for our PTSA data base. We will not share your information with outside entities. If you have already submitted your dues, please fill out amount paid. If you need to pay your dues on our secure website, please visit: www.mjhsptsa.org/join-the-ptsa/ Please pay dues online before or after submitting this form. Thank you!
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Parent/Guardian 1 Last Name
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Parent/Guardian 1 First Name
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Parent /Guardian Address
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Parent/Guardian 1 phone ( xxx-xxx-xxxx)
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Parent/Guardian 1 email
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Parent/Guardian 2 Last Name
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Parent /Guardian 2 First Name
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Parent/Guardian 2 email
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Parent/Guardian 2 phone(xxx-xxx-xxxx)
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Student 1 first and last Name
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Student 1 email
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Student 1 Graduating Year
Student 2 first and last Name
Your answer
Student 2 email
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Student 2 Graduating Year
Student 3 first and last name
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Student 3 email
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Student 3 graduating year
Membership level ( $5 per person)
Amount paid at http://mjhsptsa.org/join-the-ptsa/ (Pay before or after pressing the "submit button" at the end please!)
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Number of Members paid for (you, your student = 2, for example)
Can we count on you to help out? (Check as many as you can! We need volunteers!)
Are you interested in a leadership role ?
Any ideas or suggestions? Thank you for joining!
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