PTA Membership Sign-up

We are a dedicated group of parents, teachers, and administrative staff committed to improving the education, welfare and socialization of our students and community. Our goal is to bring together the school the students and their families, so that parents and teachers may cooperate intelligently in the education of our children.
The PTA supports many activities to enhance our children's educational experience. Some of the activities include assemblies, technology, books, teacher support etc. Beyond educational experiences, the PTA also provides a great deal of fun for the students. We sponsor the Spring Carnival, Movie Nights, Variety Show, Teacher Breakfast, Spirit Clothes, Bingo and many other special events.
We welcome and encourage every adult member of the family to join the PTA to help support the many events that help to educate and entertain our children. The cost of the PTA membership is only $5.00 per person or you can become a member of the "Golden Cougar Club" by donating $100 which will give you many benefits. In addition to your membership, we look forward to your participation in our fundraisers, as well as volunteering on one of our many events.
PTA MEMBERSHIP DUES
ANNUAL MEMBERSHIP DUES (Gastos Anuales)
ALL-INCLUSIVE MEMBERSHIP (Todo Incluido)
(National, State, Local) (Nacional, Estado, Local)
________Members at $____________ per Member (_______Miebros a $__________por Miembro)
Member's Name (Nombre del Miembro)__________________________________________________________________________________________________
Member's Name (Nombre del Miembro)__________________________________________________________________________________________________
Address (Dirección)__________________________________________________________________________________________________________________
Telephone Number (Número de teléfono)_____________________________________Email________________________________________________________
Child's Name (El Nombre del hijo)_______________________________________________________________________________________________________
Grade (Grado_____________________________________Teacher (Maestro/Maestra)________________________________________________
Child's Name (El Nombre del hijo)_______________________________________________________________________________________________________
Grade (Grado)_____________________________________Teacher(Maestro/Maestra)_________________________________________________
Amount Enclosed (Cantidad Incluído) $____________________
SDES PTA GOLDEN COUGAR CUB 2010 - 2011 FUND CONTRIBUTION SIGN-UP
Contributor's Name__________________________________________________Phone____________________________________________
Email Address_______________________________________________________________________________________________________
Student's Name______________________________________Teacher___________________________Grade__________________________
Student's Name______________________________________Teacher___________________________Grade__________________________
Student's Name______________________________________Teacher___________________________Grade__________________________
____________Golden Cougar Cub($100 or more)
____________Other Donation
For Free Administration purposes only:
Total # of children in your family:____________
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Checks Payable to SDES PTA
You may return by sending check and form with your child in their backpack, dropping off form and check at the school's main office or mailing form and check directly to
SDES c/o PTA, 63 School Blvd., Stuarts Draft, Va. 24477
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Office use:
Date:__________Amount:____________Check #_________________
Membership Card Rec'd/Date:________________Magnet:__________
Bingo Tickets #/Date Rec'd:___________________________________
Carnival Tickets #/Date Rec'd:_________________________________
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* Register you Martin's Card online
* Register your MVP Card online
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