UPC School Membership Registration 2019-20
Please use this form to register your SCHOOL and your SCHOOL REPS. Annual School Dues are $75.
Please use the General Member Google Form to join or renew as an individual community member. Annual Dues $15.
If you prefer to complete your form by hand instead of using these online forms, printable forms for both School Membership and General Membership can be found at www.pvupc.org.
Email address *
School Name *
Your answer
Primary Contact (Usually the Parent Group President) *
Your answer
Primary Contact's Year-Round E-Mail *
Your answer
Primary Contact's Phone Number
Your answer
School Rep #1 - Name and E-Mail *
Your answer
School Rep #2 - Name and E-Mail
Your answer
Alternate #1 - Name and E-Mail
Your answer
Alternate #2 - Name and E-Mail
Your answer
Parent Group Name *
Your answer
Parent Group E-Mail
Your answer
Parent Group Website
Your answer
Parent Group Social Media - Platform and Handle
Your answer
Parent Group President's Name
Your answer
Parent Group President's E-Mail
Your answer
Parent Group President's Phone Number
Your answer
Parent Group Treasurer's Name
Your answer
Parent Group Treasurer's E-Mail
Your answer
Parent Group Treasurer's Phone Number
Your answer
Parent Group Social Media Director's Name
Your answer
Parent Group Social Media Director's E-Mail
Your answer
Parent Group Social Media Director's Phone Number
Your answer
School Council Parent Rep #1 Name, E-Mail, and Phone Number
Your answer
School Council Parent Rep #2 Name, E-Mail, and Phone Number
Your answer
Please mark the payment method for the $75 dues. *
Please indicate the date dues were submitted.
Your answer
Would you like to be contacted to discuss financially sponsoring another school (paying their $75 dues)?
Would you like to be contacted to discuss being a liaison to another school (communicating with their Principal or Parent Group to make sure they receive important information from UPC)?
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