Berthoud Elementary PTA Funds Request Form 2026-2027

Berthoud Elementary PTA Funds Request Form
Please complete this form and click the "Submit" button when finished. Please note: you can save this form and come back to it later if you need time to gather information, etc. If you have any questions please contact me at kbrock0321@aol.com. Thank you!
1. Teacher/Staff Member Name:

First NameLast Name
2. Email
example@tsd.org
3. Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
4. What is the best way to contact you if we have questions about your request?
5. Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
6. Is this request a one-time request or will it be a recurring expense?
7. Please note that the PTA will purchase the item via their debit card and have it shipped to the school. Please reach out to Kate Nicholson if this method does not work and we can set up another option.
8. Amount Requested:
9. Description of item(s) and reason for request (If you can provide a link to the item, that would be great):
10. If this request requires a vote by PTA members, which would you prefer?
11. Please upload any documentation related to this request (receipts, item photos, etc) here and click the "Upload" button in the bottom right corner when you are finished:
12. Signature
Should be Empty: