GUY A COWDEN PTA MEMBERSHIP FORM

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Please complete the form online or print it can send it with your payment.

Email *

Untitled Title

Today's Date Is:

YYYY

This application is for: (One member per form submission please) *

First Household Member ($10.00)

Additional Household Member ($8.00)

Cowden Teacher/Staff Membership ($8.00)

Business Membership - includes 1/4 page yearbook ad ($50)

First Name: *

Last Name: *

Address: *

City, State, Zip Code *

Prefered Phone Number (XXX) XXX-XXX* *

How would you like to be involved with the PTA this year? (Check all that all the apply) *

Yearbook Club

Membership Committee

Fundraising Committee

Donate items/food for events

Volunteer at PTA events

I have no preference/Contact me with needs

I'd like to be considered for a board position next year

I have professional skills I can offer (see next question)

Required

You are considered a 'Member' when dues are paid. How would you like to pay your membership dues? *

I'll send a cash with my child (Put in envelope and write COWDEN PTA on it)

Send me a link so I can pay with a debit/credit card

Which "House" does your child belong to at Cowden Elementary? (if you have more than one child, select all that apply) *

I do not have a child at Cowden Elementary

My child has not been assigned to a 'House'/I don't know

House Altruismo (Black House)

House Amistad (Red House)

House Isibindi (Green House)

House Reveur (Blue House)

What are the names of your children who attend Cowden and what grade are they in? If you don't have a child at Cowden, simply write N/A. *

A copy of your responses will be emailed to the address you provided.

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