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2025-26 Hickman PTSA Membership Form
Thank you so much for joining the Hickman High School PTSA!
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Email
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Your email
STEP 1: COMPLETE THIS BRIEF MEMBERSHIP FORM
Membership is a 2-step process! Step 2 involves submitting dues to Hickman PTSA, via instructions below.
Primary Member Last Name
*
Your answer
Primary Member First Name
*
Your answer
Primary Member Phone Number
Your answer
Type of Membership for Person Listed Above
*
Parent or Guardian
Faculty or Staff
Student
Other:
Additional Adult (Non-Student) Member:
Last Name
Your answer
Additional Adult (Non-Student) Member:
First Name
Your answer
Additional Adult (Non-Student) Member Email Address
Your answer
Additional Adult (Non-Student) Member Phone Number
Your answer
Additional Adult Member(s) Membership Type
Parent or Guardian
Faculty or Staff
Clear selection
Student Member(s) and Grade(s)
Your answer
Street Address and Zip Code
Your answer
Number of Parent/Guardian Memberships
Payment must be received in order for membership to be active. Membership is for the 25-26 school year.
10.00 each
0
1
2
3
4
5
Clear selection
Number of Faculty/Staff Memberships
Payment must be received in order for membership to be active.
Membership is for the 25-26 school year.
10.00 each
0
1
2
3
4
5
Clear selection
Number of Student Memberships
Payment must be received in order for membership to be active.
Membership is for the 25-26 school year.
10.00 each
0
1
2
3
4
5
Clear selection
If you wish to donate an additional amount for our programs, please select one, or enter your own amount.
$20
$15
$10
$5
Other:
Clear selection
STEP 2: SUBMIT DUES
PayPal:
https://www.paypal.com/donate/?hosted_button_id=74MWTKRUZ8WXY
(please consider adding an extra $1 to your membership to cover PayPal's processing fee)
Venmo:
see below
Check:
payable to
Hickman PTSA
(deliver to Hickman West Office, or mail to: Hickman PTSA, Hickman High School, 1104 Providence, Columbia, MO 65203)
Cash:
accepted in the Hickman West Office (exact change is appreciated!)
Pay via Venmo @HickmanHighSchoolPTSA.
Total amount due
including ALL membership(s), processing fee and additional donation (if contributing):
*
Your answer
A copy of your responses will be emailed to the address you provided.
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