Zeman PTA Membership Form

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ZEMAN PTA

Membership Form

Date ____________

Name _____________________________________________ Category (see below) ______

Address __________________________________________________________

City ______________________ State ___________________ Zip Code ____________

Additional Member __________________________________ Category (see below) ______

Address __________________________________________________________

City ______________________ State ___________________ Zip Code ____________

Student(s) name(s) ___________________________________________ Grade ______

___________________________________________ Grade ______

___________________________________________ Grade ______

___________________________________________ Grade ______

*Enter applicable category above: Parent (P), Grandparent (GP), Zeman Faculty Member (FAC)

MEMBERSHIP FEE IS ONLY $6.00 PER Adult

(Make checks payable to Zeman PTA)

PTA Members will receive a free student directory!

Please include membership fee when returning this form to your child’s classroom teacher

or the office. We will also have a booth at Safe Walk to School for you to sign up.

Thank you for your support!

PTA Membership committee