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Waugh Chapel Elementary School PTA

Membership Form 2018-2019

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Join now and help the PTA continue to make Waugh Chapel a great school!

Each dues paying member is encouraged to come to general meetings and vote on PTA business. We want your input.

PTA Annual Membership is $6.00 per member

or $10.00 per 2 members in the same household

Please fill out all the information below, enclose your annual dues with this form and return to the school’s office or your child’s teacher. A membership card will be sent home with your (oldest) child. If you have any questions, please contact our Membership Chair: Gwen Knaub at: PTAWaughChapel@gmail.com

1st Member ($6.00)

Parent/Guardian’s Name: ____________________________________

Address: _____________________________________________

City: ____________________ State: _____ Zip Code: ________

Telephone: ___________________________

Email:

Are you interested in volunteering at future PTA events? Yes or No

2nd Member (same household additional $4.00)

Parent/Guardian’s Name: ____________________________________

Telephone: ___________________________

Email:

Are you interested in volunteering at future PTA events? Yes or No

Child’s Name: ______________________________ Grade: ______ Teacher: _____________

Child’s Name: ______________________________ Grade: ______ Teacher: _____________

Child’s Name: ______________________________ Grade: ______ Teacher: _____________

Child’s Name: ______________________________ Grade: ______ Teacher: _____________

If you would like to make an additional donation to the PTA please mark how much you would like

to donate and include the additional amount in your check with your annual dues;

$5.00  $10.00  $15.00  $20.00  $30.00  $40.00   $50.00  or  more

**All information given to the PTA will be use only for school purposes and we will not give this information to anyone for commercial use. We must maintain proper records in order to maintain our non-profit status

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PTA Use

Date Received: _________ Amount Paid: __________ circle: cash or check#_______

Date Card Sent Home: __________ Card Number (s): _____________

 

Posted in General Membership Information