Parent Teacher Organization Registration Form
Complete this form to register your Parent Teacher Organization.
First Parent Name ($10), Teacher/Staff Name ($5)
*
First Name
Last Name
Second Parent Name ($5) Optional
First Name
Last Name
Additional Family Member ($5) Optional
First Name
Last Name
Additional Family Member ($5) Optional
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Student Name
*
Student Grade
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other
Volunteer Interests (select any that apply)
Event Planning
Fundraising
Classroom Support
Communications
Other
My Products
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First Parent Membership
$10.00
$
10.00
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10
Second Parent Membership
$5.00
$
5.00
Quantity
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10
Additional Family Membership (s)
$5.00
$
5.00
Quantity
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10
Faculty/Staff Membership
$5.00
$
5.00
Quantity
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10
Credit Card
Register
Should be Empty: