Kumpf PTA Membership Form (2025-2026)
The CHK PTA is comprised of parents, guardians, teachers and administrators who care about your children.  By joining the PTA you help support many important educational programs. The PTA benefits your children by sponsoring assemblies and field trips, providing agendas, scholarships and much, much more.  Our goal is to reach 100% membership!  Please note that you must be a registered member of the PTA to volunteer for a school sponsored event.

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Email *
Oldest Child - First & Last Name
Oldest Child - Grade
Member (1) - First & Last Name *
Member (1) - email address *
Member (2) - First & Last Name
Member (2) - email address
Membership Dues Total ($10.00 per member) *
Required
Fundraiser Donation (To help us reduce the number of fundraisers this year, please consider a $30 Fundraiser Donation.)
Total Payment Amount: 
(# of Memberships _____ X $10 each + Fundraiser Donation $_____)
 *
Payment Method (Please select one) *
Required
Kumpf PTA News Email List  (Would you like to sign-up to receive PTA Emails with News and Info on upcoming events?) *
Kumpf PTA News Email List  (If yes, provide the email addresses where you would like to receive the PTA News. If more than one email address, please separate by a comma.)
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