2021 Jamestown PTA Membership Form

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Please accept this invitation to become a member of Jamestown Elementary PTA. Membership does NOT require you to attend meetings, but we encourage you to come! Parents AND Teachers working together will assist our Jamestown Jayhawks on their path to success. Meetings will be held virtually at 6 PM on the second Tuesday of each month. The first meeting is on September 14th!

Email *

Your name *

Choose: *

Parent

Teacher

Other

Choose:

Male

Female

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Student 1: Name

Student 1: Grade/Teacher

Student 2: Name

Student 2: Grade/Teacher

Student 3: Name

Student 3: Grade/Teacher

Student 4: Name

Student 4: Grade/Teacher

Address *

Email Address (Please include so we can communicate and send virtual meeting link!) *

Home Phone Number *

Cell Phone Number *

Number of Memberships @ $6.00 Each *

Total Amount Due *

Method of Payment *

Cash (Please place money in an envelope marked PTA with students name and turn it in to teacher.)

Check (Please make checks payable to Jamestown PTA. There will be a $25 fee if check is returned. (Please mark check with students name and turn it in to students teacher.)

PayPal: paypal.me/jamestownpta

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