Chesterfield Elementary PTA Membership Form

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Please fill out this form to join the Chesterfield Elementary PTA for the 2021-2022 school year. Once you have entered the required information, please pay your annual membership dues. $10 per parent and $5 for staff members. If multiple parents would like to join the PTA, both need to fill out this form and submit the appropriate dues. Cash/Checks payable to Chesterfield Elementary PTA. You may also pay your dues via Paypal to ChesterfieldPTABoard@gmail.com. THANK YOU for your continued partnership and your support in making this a great school year for our kids!

Type of Membership: *

Parent

Staff Member

Your Full Name: *

Children's Names:

Children's Homeroom: *

Your Email: *

Paypal *

I will send in cash (labeled for PTA membership with your name)

I will send a check (made payable to Chesterfield Elementary PTA)

Paypal (Link: paypal.me/chesterfieldpta)

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