Join The PTSA
Wesley International Academy
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PARENT/CAREGIVER
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5.50
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2
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4
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STUDENT
$
5.50
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0
1
2
3
4
Item subtotal:
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TEACHER/ADMIN/STAFF
$
5.50
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2
3
4
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$
0.00
FRIEND/COMMUNITY PARTNER
$
5.50
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4
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Total
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Payment Information
Enter each member's contact information below.
PARENT/CAREGIVER 1 Name:
*
First Name
Last Name
PARENT/CAREGIVER 1 Email:
*
example@example.com
What's your student's grade and teacher's name? (Type N/A if not applicable)
*
Grade (or type N/A)
Teacher's Name (or type N/A)
PARENT/CAREGIVER 2 Name:
*
First Name
Last Name
PARENT/CAREGIVER 2 Email:
example@example.com
What's your student's grade and teacher's name? (Type N/A if not applicable)
*
Grade (or type N/A)
Teacher's Name (or type N/A)
PARENT/CAREGIVER 3 Name:
*
First Name
Last Name
PARENT/CAREGIVER 3 Email:
example@example.com
What's your student's grade and teacher's name? (Type N/A if not applicable)
*
Grade (or type N/A)
Teacher's Name (or type N/A)
PARENT/CAREGIVER 4 Name:
*
First Name
Last Name
PARENT/CAREGIVER 4 Email:
example@example.com
What's your student's grade and teacher's name? (Type N/A if not applicable)
*
Grade (or type N/A)
Teacher's Name (or type N/A)
STUDENT 1 Name:
*
First Name
Last Name
STUDENT 1 Grade/Teacher's Name:
*
Grade (or type N/A)
Teacher's Name (or type N/A)
STUDENT 2 Name:
*
First Name
Last Name
STUDENT 2 Grade/Teacher's Name:
*
Grade (or type N/A)
Teacher's Name (or type N/A)
STUDENT 3 Name:
*
First Name
Last Name
STUDENT 3 Grade/Teacher's Name:
*
Grade (or type N/A)
Teacher's Name (or type N/A)
STUDENT 4 Name:
*
First Name
Last Name
STUDENT 4 Grade/Teacher's Name:
*
Grade (or type N/A)
Teacher's Name (or type N/A)
TEACHER/ADMIN/STAFF 1 Name:
*
First Name
Last Name
TEACHER/ADMIN/STAFF 1 Email:
*
example@example.com
TEACHER/ADMIN/STAFF 2 Name:
*
First Name
Last Name
TEACHER/ADMIN/STAFF 2 Email:
example@example.com
TEACHER/ADMIN/STAFF 3 Name:
*
First Name
Last Name
TEACHER/ADMIN/STAFF 3 Email:
example@example.com
TEACHER/ADMIN/STAFF 4 Name:
*
First Name
Last Name
TEACHER/ADMIN/STAFF 4 Email:
*
example@example.com
FRIEND/COMMUNITY PTR 1 Name:
*
First Name
Last Name
FRIEND/COMMUNITY PTR 1 Email:
*
example@example.com
Student grade and teacher's name (Type N/A if not applicable)
*
Grade (or type N/A)
Teacher's Name (or type N/A)
FRIEND/COMMUNITY PTR 2 Name:
*
First Name
Last Name
FRIEND/COMMUNITY PTR 2 Email:
example@example.com
Student grade and teacher's name? (Type N/A if not applicable)
*
Grade (or type N/A)
Teacher's Name (or type N/A)
FRIEND/COMMUNITY PTR 3 Name:
*
First Name
Last Name
FRIEND/COMMUNITY PTR 3 Email:
example@example.com
Student grade and teacher's name? (Type N/A if not applicable)
*
Grade (or type N/A)
Teacher's Name (or type N/A)
FRIEND/COMMUNITY PTR 4 Name:
*
First Name
Last Name
FRIEND/COMMUNITY PTR 4 Email:
example@example.com
Student grade and teacher's name? (Type N/A if not applicable)
*
Grade (or type N/A)
Teacher's Name (or type N/A)
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