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DWS PTA 2017/18: Membership Drive

Please provide your contact information for your child’s teacher and the PTA:

Some information is incomplete

Primary Parent Name

Primary Parent Email

Second Parent Name

Second Parent Email

Child 1

Teacher/Grade

Child 2

Teacher/Grade

Child 3

Teacher/Grade

Cell #

Home #

We spend over $100 per child each year on the activities/ events we support. Please consider sponsoring your child as part of our membership drive. Thank you. Please Check all that apply:

Please provide a valid amount

Yes - I want to become a member - $10 per family
Yes - I want to sponsor my child(ren) - $100 per child
Child 2 - $100 per child
Child 3 - $100 per child
Yes - I want to provide an additional donation (at your discretion)

Total: $25.00

Please check here if you do not want your email address shared with your child’s teacher and classmate’s parents. We will have many opportunities for our families to get involved throughout the year; we will publish them in our newsletter sent home in your child’s folder monthly. We do have a few special needs we want to highlight now. Please let us know if you have the following skills / talents you would be willing to share with the PTA. Please Check all that apply:

Graphic Design WEB development Donation solicitation

I’m available during the week day sometimes I’m interested in becoming class parent I’m interested in supporting after school enrichment on Mondays

Your Payment Information

Billing Address

Billing Address 2

City

State

Country

Zip / Postal Code

Payment information is incomplete

Name on Card

Card Number

Exp.

CVV

We Accept