RESICA ELEMENTARY SCHOOL
PTO MEMBERSHIP FORM


1 GRAVEL RIDGE ROAD  *    EAST STROUDSBURG, PA 18302

(570) 223-6911  *  http://resica-pto.org 
email: resicapto@yahoo.com
 
 

2008-2009

Board Members

Sponsored Activities

Fundraisers

Membership Forms

Parent/Guardians

Faculty

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RESICA PTO MEMBERSHIP FORM

$5.00 FOR SCHOOL YEAR 2008/2009


Child's Name: ____________________________________

Teacher's Name: __________________________________

Parent's Name: ___________________________________

Address: _________________________________________

_________________________________________________

Telephone #:______________________________________

E-mail Address: __________________________________

In what areas are you available to help with?

______   Tricky Tray        ______   Refreshments       ______   Book Fair            ______   School Store       ______   Behind the Scenes

 

Fundraiser Option

To participate/OPT OUT of the fundraisers throughout the year please check appropriate response:

_______________ I do want to participate

_______________ I wish to pay the $40.00 buyout

If you have more than one child the buy out is reduced by $10 per child.  (Example: 1st child $40, 2nd child $30, 3rd child is $20.  The total for 3 children is $90.00)   Make checks payable to RESICA PTO.

(Parent/Guardian  version)