Salem PTO Membership Form:
Please complete this form for the PTO Membership Database
Parent #1 Name
*
First Name
Last Name
Parent #1 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent #1 Phone Number
*
Format: (000) 000-0000.
Parent #1 Email
*
example@example.com
Parent #2 Name
First Name
Last Name
Parent #2 Address (if different from Parent #1)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent #2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent #2 Email
example@example.com
What is the best way for PTO to contact you:
Email
Text
Call
Other
Child's Name
First Name
Last Name
Child's 26-27 Grade Level
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's Teacher's Name
Child's Name
First Name
Last Name
Child's 26-27 Grade Level
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's Teacher's Name
Child's Name
First Name
Last Name
Child's 26-27 Grade Level
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's Teacher's Name
In what areas are you interested in serving?
PTO Executive Board
PTO Committee Leader
Room Parent
Salem Sprint Volunteer
Salem Sprint Sponsor
Special Events
Any additional information you would like for us to know:
My Products
prev
next
( X )
Salem PTO Family Membership
Salem PTO 2025-2026 Family Membership
$10.00
$
10.00
Salem PTO Donation
Make an additional donation to Salem PTO
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Email
example@example.com
Submit
Should be Empty: