24-25 Centennial Academy PTA Membership Form

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Thank you for your interest in the Centennial Academy PTA. All membership matters.
Please let us know how we can stay in contact with you!

Name (Adult) *

Email *

Phone number

Please identify your CA affiliation *

CA Parent

CA Faculty Member (Instructional)

CA Staff Member (Administration and Support)

Community Member

Other

What is your scholar's name(s)

Scholar's Grade Level

If you do not have a currently enrolled scholar, please list NA

Is your scholar a student-athlete?

Yes

N/A

Clear selection

Are you interested in joining a committee?

More information is available upon selection

CA Dads

Executive Committee (President, Vice-President, Secretary, Treasurer)

Events

Fundraising

Membership

Wellness & Campus Beautification

Not at this time but keep me in the know!

Please place me where there is a need.

Do you have any ideas for the PTA this year?

In order to continue to support programs, events and educational efforts, the PTA collects an annual $10.00 membership due. Your membership due is valid for the 24-25 school year.

Acceptable payments include:

Zelle (cacademypta@gmail.com)

CashApp ($CentennialAcademyPTA)

Venmo ( cacademypta@gmail.com)

Please send payment and indicate YOUR name in the notes.

Thank you!

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