CRESTWOOD MIDDLE SCHOOL PTA

MEMBERSHIP FORM

Membership cost is $5.00 per person joining. Please make checks payable to CMS PTA.

Please consider including a donation with your membership. The full amount of our donation will directly support the programs and activities of the Crestwood PTA. All donations are tax deductible.

Please fill out the below form and return to the Main Office with cash or check made out to CMS PTA. Thank you for your support.

Please list only the names that will be joining the CMS PTA:

Parent/Guardian/Staff Names: _______________________________________

Address: _______________________________________

Phone Number/Email: _______________________________________

Please list your student(s) name:

Student name(s) ___________________________________________________

Grade(s) ____________________________________________________

Home Base Teacher ____________________________________________________

*Membership information will be used for PTA business only and will not be forwarded to third parties.

Total number of memberships: ______ X $5.00 = $__________

Amount of donation to CMS PTA: $__________

Total amount enclosed: $__________

Office use only:

Date _________

Check #_______

Cash__________

Initials_________