Pta Return Payment Form (English/spanish)

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Join the PTA today!
Research has proven that parent involvement has a positive effect on student success. When parents
are involved in their children's education, they achieve more and schools perform better. Who doesn't
want that? Membership in the Parent Teacher Association (PTA) at Virginia Lake provides many great
ways for you to be involved in your child's school and education.
The PTA provides:
 Communication - newsletters, current event emails, and a network of other parents
 Student & school programs - reading programs, school cultural arts assemblies, etc.
 Family Programs - school dance, Ice Cream Social, Moms & Muffins, etc.
As a Bonus, all PTA members receive a FREE copy of the school directory listing phone numbers,
addresses and emails. This is a great resource for contacting other parents to arrange carpools play-
dates, or homework advice.
_____________________________________________________________________________________
Return Payment with this Form (checks payable to Virginia Lake PTA):
Membership Type: Individual (1 Parent) $5.00_________ Family $10.00_________
Adult members first and last name(s) ______________________________________________
Street Address_________________________________________________________________
City ____________________ Zip Code ___________ Phone____________________________
Email address ___________________________________________________________
Child #1 Name ___________________________ Grade_____ Teacher______________
Child #2 Name___________________________ Grade_____ Teacher_______________
Child #3 Name ___________________________ Grade_____ Teacher______________
Child #4 Name___________________________ Grade_____ Teacher_______________
School Directory: Do you want to be included in the school directory? ______Yes ______No
(Form and payment must be received by September 26 to be included in the 2015/2016 directory.)
1. ______Full Contact information provided above
_____Name, phone, email only
2. Parent Signature to authorize PTA publishing contact information _________________________
Return form and payment to the school office or to the booth on Meet the Teacher day.
Questions? Contact membership chair Cheryl Eisenmenger at .

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