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2022/23 LIPTSA Registration Form
Thank you for supporting the Lopez Island Parent Teacher Student Association! Please enter your information in the form below to become a member and help support our students and school community.
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* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Email Address
*
Your answer
I am a:
*
Parent
LISD Teacher/Staff/Administrator
Community Member/Grandparent
Student
Would you like to be contacted about LIPTSA volunteer opportunities?
*
Yes
No
Cell phone number (Optional) for text notifications and reminders of LIPTSA events & meetings
Your answer
We offer a pay-what-you-can membership fee structure. Please select which option is best for you this year:
*
0$. I would like a free, subsidized membership this year
I am a teacher/staff member and would like a $0 free, subsidized staff membership this year
I will pay for a membership this year.
Would you like to register an additional member?
Yes
No
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