PECPTA Membership Form 2019-2020
Dues are paid based on the school year and as such run July 1st to July 1st each year.
First Name *
Your answer
Last Name *
Your answer
Phone *
Your answer
Email *
Your answer
Join the Private Member Facebook Page *
Address (Please include Street #/Name, City & ZIP *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Spouse’s Name *
Your answer
Number of Children *
Your answer
Child (ren) Name(s), Birthday(s), & School(s) (If applicable) *
Your answer
Do you work outside the home? *
What is your work schedule like? *
Are you a returning member of PECPTA? *
If yes, what year did you join? *
Your answer
Are you a first time member? *
If you are a first time member, how did you hear about us?
Your answer
Do we have your authorization to use pictures of you, your child(ren) or family at PTA sponsored events for our website, Facebook page and/or promotional items? *
I understand that the Parma Early Childhood PTA, its officers and committee chair-persons shall not be held liable/responsible for accidents or injuries at any PTA function. Members are responsible for the safety and care of their own children at all activities. *
I understand that as a member of PECPTA, I am required to pay $15 annual dues, participate in a PECPTA committee, provide a refreshment for one meeting, provide a refreshment for one fundraiser, and raise $30 for PECPTA. If I do not meet these requirements, I will not be permitted to participate in any private PECPTA events/outings or join again the following year. *
*NEW* I would like to donate $5 to PECPTA to meet my refreshment requirement for donating to a fundraiser for the year! This money will be used to buy water, soda, and juice boxes for events like Resale. We are offering this option to avoid having soda expire and so it is not necessary to store extra drinks during the year. Instead, the Fundraising VPs will be responsible for purchasing the needed drinks and return any unopened packages after the events. *
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