Palos Verdes Peninsula High by R8VDq9


									                                     Palos Verdes Peninsula High
                             Parent-Teacher-Student Association 2009-2010
     Parents, teachers, students, grandparents and community friends…we invite you to be a part of
     our Peninsula High School PTSA! Your PTSA dues benefit every student on our campus
     through gifting of educational supplies, sponsoring students to go on Capitol Convoy in
     Sacramento, Reflections program, Red Ribbon Week, safety/disaster preparedness supplies and
     much more! PTSA dues and donations are tax deductible.
                   Please complete this form…one per family. Thank you for your generosity!
1. PTSA Membership (You must be a PTSA member to purchase a PTSA student directory.)
                           Member                             Please indicate if Parent,   Grade if   $10 per
                                                              Student, Teacher, Other      student    member




         If more than 4 members, please use an additional form to list names.
                                                                    Total - Membership $_____
2.       PTSA Student Directory (You must pay for a membership before you can purchase a directory)
         I am purchasing _____ Student Directories @ $10 each.
         Directory will be mailed to the address listed on the directory form.                      $_____
3.       Disaster and Safety Preparedness
         A donation of $10 per student is requested to replenish supplies for all                           $_____
         classrooms, disaster/safety preparedness on campus and the emergency
         phone contact system.
4.       PTSA Donation
         Please make a tax-deductible donation to the PTSA to help support the                              $_____
         programs and events that the PTSA provides

5.       Instructional Materials Donation
         Please make a tax-deductible donation to the PTSA to help offset the                               $_____
         cost of paper, ink cartridges, and additional classroom supplies.
      Please make one check payable to: PVPHS PTSA                              Grand Total (Items 1-5)

     Parent/Guardian Name______________________________________ Phone________________

     Student Name(s) _____________________________________ Parent E-mail

     Street Address_______________________________ City__________________ Zip Code_____
                             Return this form with your check on Registration Day.
     After that date, mail to: PTSA, Peninsula High School, 27118 Silver Spur Road, Rolling Hills Estates, CA 90274.

          Please be sure to complete the Student Directory Information Form on the following page!
     PTSA 1st VP

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