KPGT On-Site Membership Form
Annual Dues for 2018-2019 School Year:
$20 for Family Membership
$10 for Katy ISD A+ Educators (Teachers, Counselors, Administrators)
ONLINE MEMBERSHIP APPLICATION REQUIRES PAYMENT BY PAY PAL
PLEASE NOTE THAT MEMBERSHIP FEES ARE NON-REFUNDABLE
Residence in Katy ISD, or having a child in the KISD G/T program, is not a requirement for membership. Because of funding and facility restrictions, participation in some events will be restricted to KISD identified G/T students.
* Required
Publicity Consent
*
Note: if you do NOT agree to the publicity release below, please download the printable form and apply for membership by mail. Any photographs of children used on the KPGT website are carefully chosen so they do not include the child's name or the name of the school. I hereby consent that any photographs taken in the course of a KPGT event may be used by KPGT for the purposes of publicity and promotion for that organization, including use in printed material (newsletters, brochures) and electronic media
I have read and agree to the publicity statement above
Required
ADULT MEMBER INFORMATION
Please indicate your role in the G/T community
*
Choose
Parent/Family
Teacher
G/T Educator
Administrator
Other
Primary Adult Last Name
*
Your answer
Primary Adult First Name
*
Your answer
Primary Adult Phone Number
*
Your answer
Primary Adult Email Address
*
Your answer
Would you like to be contacted via email about volunteering for KPGT?
Choose
Yes
No
Family Street Address
*
Your answer
City
*
Your answer
ZIP Code
*
Your answer
Secondary Adult Last Name
Your answer
Secondary Adult First Name
Your answer
Secondary Adult Phone Number
Your answer
Secondary Adult Email Address
Your answer
Would you like to be contacted via email about volunteering for KPGT?
Choose
Yes
No
G/T Identified Children
Please enter the information below for your KISD GT-Identified students only.
Student #1 First Name
Your answer
Student #1 Last Name
Your answer
Student #1 Grade in School Year 2018-2019
Your answer
Student #1 KISD Campus
Choose
Alexander Elementary
Bear Creek Elementary
Bethke Elementary
Bryant Elementary
Campbell Elementary
Cimarron Elementary
Creech Elementary
Davidson Elementary
Exley Elementary
Fielder Elementary
Franz Elementary
Golbow Elementary
Griffin Elementary
Hayes Elementary
Holland Elementary
Hutsell Elementary
Jenks Elementary
Katy Elementary
Kilpatrick Elementary
King Elementary
Mayde Creek Elementary
McRoberts Elementary
Memorial Parkway Elementary
Morton Ranch Elementary
Nottingham Country Elementary
Pattison Elementary
Randolph Elementary
Rhoads Elementary
Rylander Elementary
Schmalz Elementary
Shafer Elementary
Stanley Elementary
Stephens Elementary
Sundown Elementary
West Memorial Elementary
Williams Elementary
Wilson Elementary
Winborn Elementary
Wolfe Elementary
Wolman Elementary
Wood Creek Elementary
Beck Junior High
Beckendorff Junior High
Cardiff Junior High
Cinco Ranch Junior High
Katy Junior High
Mayde Creek Junior High
McDonald Junior High
McMeans Junior High
Memorial Parkway Junior High
Morton Ranch Junior High
Seven Lakes Junior High
Stockdick Junior High
Tays Junior High
West Memorial Junior High
WoodCreek Junior High
Cinco Ranch High School
Katy High School
Mayde Creek High School
Morton Ranch High School
Paetow High School
Raines High School
Seven Lakes High School
Taylor High School
Tompkins High School
Student #2 First Name
Your answer
Student #2 Last Name
Your answer
Student #2 Grade in School Year 2018-2019
Your answer
Student #2 KISD Campus
Choose
Alexander Elementary
Bear Creek Elementary
Bethke Elementary
Bryant Elementary
Campbell Elementary
Cimarron Elementary
Creech Elementary
Davidson Elementary
Exley Elementary
Fielder Elementary
Franz Elementary
Golbow Elementary
Griffin Elementary
Hayes Elementary
Holland Elementary
Hutsell Elementary
Jenks Elementary
Katy Elementary
Kilpatrick Elementary
King Elementary
Mayde Creek Elementary
McRoberts Elementary
Memorial Parkway Elementary
Morton Ranch Elementary
Nottingham Country Elementary
Pattison Elementary
Randolph Elementary
Rhoads Elementary
Rylander Elementary
Schmalz Elementary
Shafer Elementary
Stanley Elementary
Stephens Elementary
Sundown Elementary
West Memorial Elementary
Williams Elementary
Wilson Elementary
Winborn Elementary
Wolfe Elementary
Wolman Elementary
Wood Creek Elementary
Beck Junior High
Beckendorff Junior High
Cardiff Junior High
Cinco Ranch Junior High
Katy Junior High
Mayde Creek Junior High
McDonald Junior High
McMeans Junior High
Memorial Parkway Junior High
Morton Ranch Junior High
Seven Lakes Junior High
Tays Junior High
Stockdick Junior High
West Memorial Junior High
WoodCreek Junior High
Cinco Ranch High School
Katy High School
Mayde Creek High School
Morton Ranch High School
Paetow High School
Raines High School
Seven Lakes High School
Taylor High School
Tompkins High School
Student #3 First Name
Your answer
Student #3 Last Name
Your answer
Student #3 Grade in School Year 2018-2019
Your answer
Student #3 KISD Campus
Choose
Alexander Elementary
Bear Creek Elementary
Bethke Elementary
Bryant Elementary
Campbell Elementary
Cimarron Elementary
Creech Elementary
Davidson Elementary
Exley Elementary
Fielder Elementary
Franz Elementary
Golbow Elementary
Griffin Elementary
Hayes Elementary
Holland Elementary
Hutsell Elementary
Jenks Elementary
Katy Elementary
Kilpatrick Elementary
King Elementary
Mayde Creek Elementary
McRoberts Elementary
Memorial Parkway Elementary
Morton Ranch Elementary
Nottingham Country Elementary
Pattison Elementary
Randolph Elementary
Rhoads Elementary
Rylander Elementary
Schmalz Elementary
Shafer Elementary
Stanley Elementary
Stephens Elementary
Sundown Elementary
West Memorial Elementary
Williams Elementary
Wilson Elementary
Winborn Elementary
Wolfe Elementary
Wolman Elementary
Wood Creek Elementary
Beck Junior High
Beckendorff Junior High
Cardiff Junior High
Cinco Ranch Junior High
Katy Junior High
Mayde Creek Junior High
McDonald Junior High
McMeans Junior High
Memorial Parkway Junior High
Morton Ranch Junior High
Seven Lakes Junior High
Stockdick Junior High
Tays Junior High
West Memorial Junior High
WoodCreek Junior High
Cinco Ranch High School
Katy High School
Mayde Creek High School
Morton Ranch High School
Paetow High School
Raines High School
Seven Lakes High School
Taylor High School
Tompkins High School
Sponsorships
If you would like to sponsor a KISD staff member's KPGT membership, you may do so at $10 per sponsored member. Sponsorship raises staff awareness of G/T issues and needs, helps keep the staff member informed about KPGT activities and opportunities, and allows them to participate at member rates.
Staff Member's First Name
Your answer
Staff Member's Last Name
Your answer
Staff Member's Campus
Your answer
Staff Member's Email address (if known)
Your answer
Additional Donations
If desired, you may make a donation beyond your membership dues. All donations are tax-deductible and directly fund KPGT programs and services benefitting KISD's G/T students.
Friend: $1-$74
Supporter: $75-$149
Advocate: $150-$299
Patron: $300-$499
Benefactor: $500+
My company has a corporate matching gift program
Total
You may pay for your membership via PayPal or with a credit card. After submitting this form, your confirmation screen will have a link to complete payment for your membership registration.
NOTE: You do not have to have a PayPal account to complete the transaction. PayPal will allow you to pay via credit card if desired.
Total for Membership
*
$20 Family Membership
$10 KISD Educators
Total for Sponsorship (if applicable, $10 per staff member)
Your answer
Total for Additional Donation (if applicable)
Your answer
Grand Total of above items
*
Please remember this amount for your Pay Pal transaction. Please note that membership fees and other donations are non-refundable
Your answer
Name on Pay Pal or credit card account
*
Your answer
Comments
Thank you for your support of KPGT!
If you have comments or have additional GT students or Sponsorship information, please enter it below.
Your answer
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