LARGO HIGH PTSA, INC. MEMBERSHIP FORM

2006 – 2007

$10 Adults……. $6 Students

ADULT NAME(S):___________________________________________ 

STUDENT NAME(S)/GRADE LEVEL:  _____________________________________________________________

ADDRESS: __________________________________________________

_____________________________________________________________

PHONE #s ___________________________________________________

E-MAIL ADDRESS ___________________________________________

When are you available for volunteering?       Days or Evenings (Circle)

Gifts and Talents/Areas of Expertise: ____________________________________________________________

____________________________________________________________

List times preferred: ________________

       DONATIONS WELCOMED

TOGETHER WE CAN MAKE A DIFFERENCE IN ACHIEVING STUDENT SUCCESS!