Pleasanton Middle School Parent Faculty Association (PFA)
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Pleasanton Middle School Parent Faculty Association (PFA) Working to benefit the parents, students and staff at PMS Membership & Voluntary Donation Form PowerPoint PPT Presentation


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Pleasanton Middle School Parent Faculty Association (PFA) Working to benefit the parents, students and staff at PMS Membership & Voluntary Donation Form. PFA Membership Cashier Initials/Payment Type

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Pleasanton Middle School Parent Faculty Association (PFA) Working to benefit the parents, students and staff at PMS Membership & Voluntary Donation Form

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Pleasanton middle school parent faculty association pfa working to benefit the parents students and staff at pms membership voluntary donation form

Pleasanton Middle School Parent Faculty Association (PFA) Working to benefit the parents, students and staff at PMSMembership & Voluntary Donation Form

PFA MembershipCashier Initials/Payment Type

_____ PMS PFA Membership - $25 ( Includes Directory) Choose one:_____ an electronic directory_____a hard copy directory$_________ __________

PERMISSIONDirectories are only provided to PFA family and faculty members. We must have your permission to include you in the directory. Please mark ONE of the two boxes below.

_____Yes, please include the information below in the directory. ______No, please DO NOT include the information below in the directory.

I acknowledge the directory information below is accurate. I understand that the directory is published expressly for the personal use of Pleasanton Middle School PFA Community. Initials:

Voluntary Donation

_____ PMS PFA Donation – suggested donation $200 per student (any amount is greatly appreciated and will be used to benefit all PMS students) $__________ __________

__________________________________________________________________________________________________________________________________________________________________________________________________________

DIRECTORY INFORMATION (please PRINT clearly) STUDENT INFORMATIONStudent Last Name Student First Name GradeHome Phone1.___________________________________ __________________________________ _____ (_____) ______ ‐ ______

2.___________________________________ __________________________________ _____ (_____) ______ ‐ ______

3.___________________________________ _______________________________________ (_____) ______ ‐ ______

PARENT/GUARDIAN INFORMATION Father First Name Mother First Name Last Name

___________________________ _________________________ _____________________

Home Address (address, city, zip code)

________________________________________________________________________________________________________________

Home Phone Number Cell Phone Number

___________________________________ ______________________________________________________________

E-mail address

________________________________________________________________________________________________


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