JDC Early College PTSA Membership /NCPTA Membership Form
Welcome to the JD Clement Early College Parent Teacher Student Association. Please complete the form below and use the link in the dues section to pay dues online. Other options for payment of dues are: leave payment in envelope at school office or bring to the monthly PTSA meeting (make checks payable to: JDC Early College PTSA). Please note: Member information will be entered into the NCPTA database to receive communication.
PTA/PTSA Name:
JD Clement Early College High School
Annual Membership Dues/Gastos Anuales (National, State, Local/Nacional,Estado,Local):
$10 per member for the school year. ECHS seniors who join will become eligible to apply for the Malloy Scholarship offered in the Spring.
Year (Ano): *
Member Type: *
Required
Member's Name (Nombre del miembro): *
Additional Member's Name (Nombre del miembro):
Additional Member's Name (Nombre del miembro):
Additional Member's Name (Nombre del miembro):
Address (Direccion): *
Telephone Number (Numero de telefono):
Email: *
Child's Name (El Nombre del hijo) *
Grade (Grado) and Teacher (Maestro) *
Additional Child's Name (El Nombre del hijo)
Grade (Grado) and Teacher (Maestro)
I am interested in serving on the following committee(s):
Dues ($10 per member)
Please click link to pay dues online (Haga clic en el enlace para pagar las cuotas en línea)
(VISA, Mastercard, AMEX, Discover)

https://checkout.square.site/buy/B6J6ABK6ZE4TESSDGAXRXVYG


REMEMBER to return to this form and press "SUBMIT" to submit membership form
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