Mother/Father _____________________________________________________

Faculty/Guardian ___________________________________________________

Home Street Address ________________________________________________

City/State/Zip ______________________________________________________

Home Phone Number ________________________________________________

Daytime Phone Number (if different from above) __________________________

Email Address ______________________________________________________

(Would you like to receive email updates on upcoming PTO events?  All emails are kept confidential)

    O  Yes                         O No - Thank You

Student Information:

Name ______________________________Teacher _____________________ Grade _______

Name ______________________________Teacher _____________________ Grade _______

Name ______________________________Teacher _____________________ Grade _______

Name ______________________________Teacher _____________________ Grade _______

Please check below:

O Yes – please contact me for volunteer possibilities

O Yes – I can volunteer after normal work hours. My best times are __________

O No – I cannot volunteer at this time (which is PERFECTLY OKAY)

ANNUAL PTO membership dues (per family) are $10.00 which includes a FREErechargeable KROGER Gift Card ($5.00 value).  Make check payable to Croft PTO

 

Your contributions are gratefully accepted if you choose to donate more than the $10.00 fee.  Please use your cancelled check as your receipt.  To update your information or questions, contact us anytime at croftpto@gmail.com.