PTO Membership Form
MEMBERSHIP TYPES:
*
$20 - Family Membership
$15 - Teacher/Staff Membership
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Teacher & Staff Membership
Name
*
Grade/Class
*
JK
Kindergarten
1st
2nd
3rd
Upper Elementary
Middle School
High School
Other
School Email
*
Any feedback, comments, or ideas - please share!
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Family Membership
Your Name
*
Phone Number
Email
*
How many children do you have attending DV?
*
1
2
3
4
5
6
7
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Your Student's Information:
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
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(2) Student Information:
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
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(3) Student Information:
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
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Next
(4) Student Information:
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Back
Next
(5) Student Information:
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Back
Next
(6) Student Information:
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Back
Next
(7) Student Information:
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Name
*
Child's Grade / Teacher
*
Please Select
JK - Galles
Kindergarten - Blaeser
Kindergarten - Hamm
Kindergarten - Kurtz
Kindergarten - Marx
Kindergarten - Rolling
1 - Ellis
1 - Goeden
1 - Long
1 - Kieler
1 - Vondracek
2 - Hardesty
2 - Heyl
2 - Lansink
2 - Rasmussen
2 - Thomsen
3 - Full
3 - Leibitzke
3 - Richou
3 - Verzani
3 - Walling
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
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Parent Input
We know not everyone has extra time to give—but you might have valuable connections! Do you (or does someone you know) own or work for a business that may be willing to sponsor an event, donate a raffle item, or help in another way?📝 If yes, please tell us the business name, type of support you/they might offer and how we can follow up (if you know)! We appreciate any offers & suggestions!
Any other feedback, comments, or ideas - please share!
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Teacher Membership
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15.00
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Family Membership
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20.00
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