Student's Name
*
First Name
Last Name
Primary Parent's Name
*
First Name
Last Name
Secondary Parent's Name
First Name
Last Name
Primary Parent's E-mail
*
example@example.com
Secondary Parent E-mail
example@example.com
Primary Parent's Cell
-
Area Code
Phone Number
Secondary Parent's Cell
-
Area Code
Phone Number
I am interested in serving on the Rosa PTO Board on the following committees:
Reality Fair (fall)
Fundraising (fall)
Homecoming Dance (fall)
Proctoring (spring)
Staff Appreciation
As Needed
My Products
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Basic PTO Membership
$
30.00
Jag Level Membership
$
130.00
In addition to the basic membership, this also provides full participation in Rosa Scott PTO's primary fundraiser - with 25 entries to the raffle and student incentives.
Total
$
0.00
Credit Card
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