PTA Membership

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1. I would like to join the PTA and help support the education and community building programs at Williams.

I would like to join the PTA and help support the education and community building programs at Williams. Yes

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2. Please enter the personal information below:

Please enter the personal information below: Father/Guardian's Last Name
Father/Guardian's First Name
Mother/Guardian's Last Name
Mother/Guardian's First Name
Address
Address 2
City
CA
Zip
Phone
Email Address

3. Do you have additional contact information?

Do you have additional contact information? Secondary Email Address:
Secondary Phone Number:

4. Please list your oldest's Williams Student's name:

Please list your oldest's Williams Student's name: Last Name
First Name

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5. Please Indicate which grade & teacher your oldest Williams Student

	Grade	Teacher - by last name
Oldest Child's Teacher	Please Indicate which grade & teacher your oldest Williams Student Oldest Child's Teacher Grade	Teacher - by last name

6. Please input information for your 2nd Williams Student (if applicable to your family)

Please input information for your 2nd Williams Student (if applicable to your family) Last Name
First Name

7. Please indicate your 2nd Williams Student's Grade & teacher

	Grade	Teacher - by last name
2nd Williams Student	Please indicate your 2nd Williams Student's Grade & teacher 2nd Williams Student Grade	Teacher - by last name

8. Please indicate your 3rd Williams Student's name (if applicable)

Please indicate your 3rd Williams Student's name (if applicable) Last Name
First Name

9. Please indicate your 3rd Williams Student's Grade & Teacher

	Grade	Teacher - by last name
3rd Williams Student	Please indicate your 3rd Williams Student's Grade & Teacher 3rd Williams Student Grade	Teacher - by last name

10. Please state your 4th student's name (if applicable)

Please state your 4th student's name (if applicable) Last Name
First Name

11. Please indicate your 4th Williams Student's Grade & Teacher

	Grade	Teacher - by last name
4th Williams Student	Please indicate your 4th Williams Student's Grade & Teacher 4th Williams Student Grade	Teacher - by last name

12. Teacher Membership:

Teacher Membership: Yes

13. Additional Donation:

Additional Donation:

Next Step: Please write a check for your $20 family membership (plus, any extra if you'd like to donate to our PTA programs.)

Also, include a post-it or some kind of note w/your family's name & that you registered on-line.

Last step: Drop off your check & note in the Office.

You're all set! Be sure to get your Free PTA Pumpkin at the Jack-o-Lantern Jam on October 24th and visit the Concessions stand at our Spring & Fall Movie Nights for your free Popcorn (lines will be much shorter next time, we promise!)

Thanks for becoming a PTA Member! Your support makes a big difference in our school!

14. PTA Use Only:

PTA Use Only: *

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