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Membership Application

A family membership will cost $12

Denotes required field

First Name
Last Name
Phone
Email
Address
City
State
Postal Code
I would like to join the PTA, membership fee of $12 is included (please specify new or renewed)
 
New membership
Renewed membership

I would like make a tax deductible pledge (pledges of $50 or more earn a free membership)

Pledge Amount $

My affiliation with the school is:
 
Parent
Staff
Community Member
Are you interested in volunteering your time with the PTA?
 
Yes, I would like to volunteer
No, I am not interested
   
I would like more information about the PTA, please contact me.

Please print this page and mail with your check or money order for $12 to:

WJE PTA
26501 Barkley Road
Conifer, CO 80433

Submitting this form will send the above information
to the PTA membership chair.