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2021-2022 PTA Membership Registration
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Email *
Adult #1 First Name *
Adult #1 Last Name *
Adult #1 Member Type *
Street Address *
Zip Code *
Adult #2 Email Address
Adult #2 First Name
Adult #2 Last Name
Member Type
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Child #1 Name
Child #1  Grade
K
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5
Grade
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Child #2 Name
Child #2  Grade
K
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2
3
4
5
Grade
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Child #3 Name
Child #3  Grade
K
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2
3
4
5
Grade
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Child #4 Name
Child #4  Grade
K
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5
Grade
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Membership Dues & Donations
PTA membership is $10 per adult. In order to complete your membership, you can VENMO us @CHB-PTA or use PAYPAL. Please note that each adult is counted as one membership (so, if two adults in the same household want PTA membership, please pay $20). PLEASE include your name(s), "membership" and whether your payment includes a donation.
Venmo - @CHB-PTA
Paypal option - submit payment by credit card or via personal Paypal acct
I confirm my payment to CHB PTA *
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