Pointer Ridge Elementary PTA
Membership Form
PTA Membership: $12.00 per Adult; $20 per Family Make checks*/money orders payable to: Pointer Ridge PTA
Questions – Contact Regina Buie-Ferguson, PTA President: email - presptabowie@gmail.com
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Child's Name
Teacher
Child's Name
Teacher
Child's Name
Teacher
Child's Name
Teacher
Volunteer Interests ( Check all that apply)
Paint Night
Valentine's Day Dance
Mother-Son Social
Father's Day Dance
Booster-Thon
Membership
Available to volunteer Anytime
Teacher/Staff Appreciation
PTA Board
Math Night/Literacy Night
Morning Parking Lot (7:25am - 7:45am)
Event Printing
Holiday Craft Sale
Classroom Liaison
Total Membership Fees:
prev
next
( X )
Adult Membership
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Family Membership
$
20.00
Total
$
0.00
Credit Card
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