United Parent Council School Membership Registration (2018-2019) For use with online-payment. (If sending in a check, please print and use the PDF version)
General Members please use the General Membership Registration.

Each School is allowed two UPC Representatives and two UPC Alternates

Email address *
School Name *
Your answer
Group email *
Your answer
Parent Group / Booster President Name *
Your answer
President email address & Phone number
Your answer
School Council Parent Representatives (if known) Names & Emails
Your answer
UPC Representative #1 Name *
Your answer
Rep 1 Email address *
Your answer
Rep 1 Phone number *
Your answer
Rep 1 Street Address *
Your answer
Rep 1 City, State, Zip *
Your answer
UPC Representative #2 Name
Your answer
Rep 2 Email address
Your answer
Rep 2 Phone number
Your answer
Rep 2 Street Address
Your answer
Rep 1 City, State, Zip
Your answer
Alternate #1 Name
Your answer
Alternate 1 email
Your answer
Alternate 1 Phone number
Your answer
Alternate 1 Street Address
Your answer
Alternate 1 City, State, Zip
Your answer
Alternate #2 Name
Your answer
Alternate 2 email
Your answer
Alternate 2 Phone number
Your answer
Alternate 2 Street Address
Your answer
Alternate 2 City, State, Zip
Your answer
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