PSAT ACADEMY
PTC Membership Form
PTC Membership Registration Form
PSAT Parent Teacher Committee Membership Form
Parent/Guardian 1 First Name
*
Parent/Guardian 1 Last Name
*
Parent/Guardian 1 Email
*
Parent/Guardian 1 Primary Number
*
Include Dashes. Ex. 832-123-4567
Complete Mailing Address for Parent/Guardian 1
*
Parent/Guardian 2 First Name
*
Parent/Guardian 2 Last Name
*
Parent/Guardian 2 Email
*
Parent/Guardian 2 Primary Number
*
Include Dashes. Ex. 832-123-4567
Complete Mailing Address for Parent/Guardian 2
*
Add an alternate address here if different from the Parent/Guardian 1 Address information.
DL or ID Card
*
Please upload image file.
Upload a picture of your current Drivers License or Sate ID Card.
Name of student enrolled in PSAT Academy
*
Grade level of student 1
*
5th
6th
7th
8th
9th
10th
11th
12th
Post Graduate
Alumni
Select student 1's current grade level.
Name of second student enrolled in PSAT Academy
*
Include the second student name here if applicable.
Grade level of student 2
*
5th
6th
7th
8th
9th
10th
11th
12th
Post Graduate
Alumni
Select student 2's current grade level if applicable.
I would like to help with the following:
*
Recruitment
Fundraising
Webmaster
Events
Marketing
Teaching
Tutoring
Administrative Duties
Athletic Assistant
Transportation
Donor
Select the option that apply. Note: You may be subject to a background check based on the service you select. All background checks & fingerprinting screeners will incur a processing fee. Reimbursements from PSAT Academy will be issued once you are all clear.
Payment Options: Select an option and follow the instructions to make your membership payment.
*
Paypal: sent payment to psatpto@gmail.com
Venmo: send payment to Kristina Perez using @krmperez 832-489-1323
Select the payment option that applies. Then process your membership payment through that selected option. PTC Membership Fees are $25.00 per family per year.
Donation Option
*
Yes I am including a donation amount more than my membership fee to help support the goals of PSAT Academy's PTC
No I am not including a donation at this time
You can include your donation amount when you select your payment choice. Include an amount in addition to the $25.00 Membership Fee to help support the goals of PSAT Academy.
Today's Date
*
Include Dashes. Ex. 01-01-2001
Parent/Guardian Signature
*
Fees
Other Fees
PSAT Academy PTC Membership
25
Total
0.00
Submit
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