University Academy Parent Teacher Organization

2017 - 2018 Membership Form

YOUR PTO WANTS YOU!!

Membership Dues - $10 Annually, per Family. Make checks payable to: University Academy PTO. A paid membership includes a UA Window Decal and a single PTO vote per family.

Member(s) Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Would you like your contact information in the school directory?

(School Directory will be in print only.)

Student Name #1

First Name

Last Name

Student Grade #1

Student Name #2

First Name

Last Name

Student Grade #2

Student Name #3

First Name

Last Name

Student Grade #3

Volunteering Opportunities

The success of our student and family activities is the result of many volunteers from our school community. We would welcome your participation whether you are new to Unviersity Academy Charter School or a veteran. It's a great way to meet new people and get involved in your child's school events and experience. Thank you Please indicate any committees you would be interested in: Please note that committees assist in planning of activities and contributionis divided.

Fundraising Committee:

To plan/help with fundraising:

Events Committee:

To plan/help with events:

Hospitality Committee:

Bake/supply food for various PTO functions:

Fundraising Efforts For Education:

Research and writing of grants

GO DEEP Committee:

Support with obtaining outside teaching resources