SLAMS HSA Dues Form

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SLAMS HSA Dues Form

This form allows you to register with the SLAMS Home and School Association

Please list your SLAMS Student Name and Grade (1)

Please list your SLAMS Student Name and Grade (2)

Please list your SLAMS Student Name and Grade (3)

Please list your SLAMS Student Name and Grade (4)

Please list names and contact info (email and /or phone number) for all members of the household who are interested in joining (this may include parents, guardians, and/or other adult family members):

Would you like to opt out of sharing your contact with HSA members other than the board?

Yes

Clear selection

Dues for this household

One memebr $5

Two members $10

Three members $15

Member is exempt (financial reasons)

Member already paid dues for 2018-19 school year

Clear selection

How would you like to pay?

I will send cash in an envelope marked "HSA DUES" with my child's name/grade and my name. Leave with office staff

I would like to pay by VENMO. send to @SLAMS-HSA (VENMO working now!) add child's name/grade in description and name of adult member(s)

I would like to pay by check payable to SLAMS HSA with child's name and grade in the memo

Other:

Clear selection

Submit

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