Join PTO

Complete this form carefully as the information will be used for the school directory.

**DIRECTORY OPT OUT - check if you DO NOT wish to have your information printed in the school directory.**
- OPT OUT
Please note that Directory information (including address) will be pulled from the District database. If you do not wish to have this information published, check the box.
Parent 1 Name*
First Last
Parent 1 Email
Parent 1 Phone
Parent 2 Name
First Last
Parent 2 Email
Parent 2 Phone
Student 1 Name
First Last Grade
Student 2 Name
First Last Grade
Student 3 Name
First Last Grade
Student 4 Name
First Last Grade
Student 5 Name
First Last Grade
Membership*
Price: $15.00
Convenience Fee*
Price: $0.75
A $.75 convenience fee has been added to the membership fee to cover credit card processing costs.
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
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