Saturday, July 04, 2009
River Hill HS PTSA Participation Form 2008-2009
PTSA Membership
Please check
next to the name(s) of those you wish to register as a PTSA member.
Select Adults to Register
First Name
Last Name
Mother
Mother's Email
Father
Father's Email
Address
City
State
Zip code
Home Phone
Select Students to Register
First Name
Last Name
Grade
Student 1
9th
10th
11th
12th
Student 1 Email
Student 2
9th
10th
11th
12th
Student 2 Email
Student 3
9th
10th
11th
12th
Student 3 Email
Student 4
9th
10th
11th
12th
Student 4 Email
ONE Adult $12
TWO Adults $20
Student(s) $5 each
TOTAL PTSA MEMBERSHIP FEE
(
) Please mail a PTSA Membership card to the address above.
Disable Case Checking
Please make check payable to River Hill HS PTSA. Membership dues and/or donations are tax deductible [tax ID # 52-1984596]. Your cancelled check is your receipt. Membership in the Maryland and National PTA is included in your membership in the RHHS PTSA. Seniors: If you would like to be eligible for a PTSA Scholarship, both the senior student and at least one parent must be PTSA members.
Please return confirmation page and check to the front office:
River Hill High School PTSA, 12101 Rt. 108, Clarksville, MD 21029
(After your information has been submitted, a confirmation page will be displayed for printing.)