
Membership Form
Thank you for your interest in joining the Ponderosa PTSA! Please fill out the form below and RETURN IT TO YOUR CHILD’S CLASSROOM OR TO THE OFFICE along with your dues payment*. When PTSA gets involved, children benefit. When you get involved with PTSA, the child who benefits most is your own.
_______$13.00 Individual Membership ________ Include me in the Directory
_______$21.00 Family Membership (incl. 2 adults) ________ I'd like to volunteer
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First Name Last Name
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First Name (Second Adult) Last Name (Second Adult)
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Address City Zip
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Primary Phone Number (required) Email Address
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Child Name(s)
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Child Name(s)
*Make checks payable to Ponderosa PTSA