LASA PTSA Membership & Donation Form

Parent Teacher Student Association (PTSA)

Membership & Donation Form
Contact Information

For tax receipt
Name*
E-mail *
PTSA Adult Membership

Please select membership types and include member information
Do you wish to purchase an Adult PTSA Membership for $10?

YesNo
How many Adult Memberships do you want to purchase?
Please fill out the table below for EVERY adult membership you are purchasing, including your own. Thank you
Adult Membership*
PTSA Student Membership

Please select membership types and include member information
Do you wish to purchase an Student PTSA Membership for $5?

YesNo
How many Student Memberships do you want to purchase?
Please fill out the table below for EVERY student membership you are purchasing. Thank you
Student Membership list*
Donation (optional)

Conveniently make a donation to LASA PTSA with your PTSA membership purchase. Donations are tax-deductible.*
Donation Amount ($)
Your donation is tax-deductible
Does your Employer provides matching donations?

YesNo
Name of Employer
Please contact your company or foundation to determine their specific steps for matching. Contact treasurer@lasaptsa.org if you need LASA PTSA to complete a form, send a letter, or assist with a grant application.
Volunteer with PTSA

Please indicate your area(s) of interest and a PTSA member will reach out to you.
Yes! I would like to volunteer:

GeneralAdvocacyStudent AdvocacyMembershipReflections Art contestTechnology (website, programming, facebook)Help organize eventsBoard member (attend meetings and support committees)Be a Reflections Contest JudgeBe an ACPTA Rep and represent LASA at the ACPTA meetings 4 X per year
Specific area of skills/interest
What is the best way to contact you?

EmailPhoneText
Phone Number
* LASA PTSA (Texas PTA Congress #2311835 ) is a 501(c)(3) nonprofit organization. Dues and donations are tax-deductible as allowed by law. EIN # 86-3389978.

Breakdown of fees for each membership: $5.50 of each membership is used by LASA PTSA for parent engagement, student and advocacy programs at LASA High School. $4.50 is used by the National PTA and Texas PTA to help our students have a visible presence in Washington, DC and Austin, Texas, advocating for public education, administrators, educators and the health, safety and welfare of children.
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Parent Teacher Student Association (PTSA)

Contact Information

PTSA Adult Membership

PTSA Student Membership

Donation (optional)

Volunteer with PTSA