Membership Form English - Barbara Jordan Elementary PTO

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Parent/Guardian Name

First

Last

Relationship to Student

Please select option from drop down.

Phone Number

No dashes or spaces please

Student 1

First

Last

Student 1 – Grade Level and Teachers Last Name

Student 2

First

Last

Student 2 – Grade Level and Teachers Last Name

Student 3

First

Last

Student 3 – Grade Level and Teachers Last Name

Student 4

First

Last

Student 4 – Grade Level and Teachers Last Name

Are you interested in serving on the PTO board?

Yes please send me information on open board positions
No I just want to be a member
Not right now but maybe later

Do you own a business offering services we could use?

If you answered yes to the question above please provide more information here:

Do you have any talents you are willing to share with the PTO? (e.g. decorating, audio, photography, DJ etc

If you answered yes to the question above please provide more information here:

2023-2024 Membership Fee Per Family

Price: $25.00

A payment option will be visible on the next page. Please let us know if it doesn’t work and an invoice will be sent to you by email. Membership is activated when payment is received. Membership must be renewed annually.