JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Churchill Junior High School PTA Membership form
Thank you for joining the CJHS PTA. Membership is $10 per person or $15 per family. Please use the form below to become a member and submit your payment using Venmo or check.
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone number
Your answer
My membership for the PTA is as a:
*
Parent/Guardian of a CJHS student
Staff member at CJHS
Other
Membership type:
*
Individual - $10
Family - $15
I am a staff member at Churchill Junior High School - $8
If you want to add a second family member to your family membership please provide a name and email for this membership.
Your answer
Method of payment - Venmo (@Churchill-Pta) or provide the check # and send the check to the school either with your child or mailed to 18 Norton Road, East Brunswick, NJ 08816 - Attn: PTA
We ask that cash is not sent as it can easily get lost.
*
Venmo (@Churchill-Pta) - DO NOT SELECT IMMEDIATE PAYMENT - this costs us money
Check made out to Churchill PTA
Other - please email
ebchurchillpta@gmail.com
for other payment options
Name as it appears on your Venmo account. Please make a note in the memo "CJHS PTA membership".
If paying by check please indicate "check sent" in space provided below.
*
Your answer
Teacher Appreciation Donation
The CJHS PTA provides a few events during the school year for the teachers and staff, including a breakfast during staff orientation, a candy bar (usually around Valentine's Day) and a teacher appreciation breakfast and luncheon in the month of May. Reminders will be sent out to make donations but we have been asked to by some parents to collect this money in the beginning of the year so they don't forget or miss the emails. This is optional but do request that our families participate by contributing $5-$10 to make this special for the teachers.
I am including an additional donation and will indicate the amount in my Venmo memo
I am including an additional donation and will indicate the amount with my check
I do not want to contribute at this time
Clear selection
Additional donation amount for PTA usage:
If you would like to make an additional donation to our school PTA please include it with your payment.
Your answer
Point your camera at the code below to pay via Venmo
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
