Membership and Donation Form

High School is hard enough!

Skip the Fundraisers and Donate Instead.

We need to raise $125,000 this year to fully fund the PTSA budget, and we need your support!

Your tax deductible donation supports cutting-edge technology, innovative teaching development, our PTSA e-newsletter, and more. This is the primary PTSA fundraiser for the year.

Your Name*

First NameLast Name

E-mail*

Confirmation Email

Join and Donate!

Donation Levels

Enter Other Amount

PTSA Membership

$30 PTSA Parent Membership$10 PTSA Staff Membership$10 PTSA Student Membership

Recognition Opt-out (keep your donation anonymous)*

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Student's Name

First NameLast Name

Student's Grade*

Homeroom number

Department

Other Department

Number of Students*

Attending LHS

My child(ren)'s top interests are:

You can also Contribute to the PTSA by linking your Harris Teeter VIC Card.

Link Harris Teeter VIC Card

VIC # or Phone #Last Name

We are grateful for your support of the Langley PTSA. Go Saxons!

Name as should be published on Donor List

Dues total

Donation total

Total

Payment Method*

Pay Online (PayPal, Credit/Debit Card)

You will be directed to our online payment processing site after you click Submit.

Online Total

USD

Support the PTSA!