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The following ONLINE form will be used for registering your PTSA membership - You must still PAY in the online store!

You must fill out this form AND proceed to the store for payment.

For your convenience, please see the complete instructions to the left.

Name
 
Date Submitted (none current)
Type of Member Parent/Guardian
Teacher/Faculty/Staff
Student
Other

Member First Name

Member Last Name

email

Cell Phone

Okay to receive texts? Yes
No

FOR CARD DELIVERY: Student Name/ Grade/ 7th Per Teacher

2nd Member Type Parent/Guardian
Teacher/Faculty/Staff
Student
Other

2nd Member First/Last Name

2nd Member email

3rd Member Type Parent/Guardian
Teacher/Faculty/Staff
Student
Other

3rd Member First/Last Name

3rd Member email