ERHS PTSA MEMBERSHIP APPLICATION 2009-2010

Please return this form to the office by your student or mail to: Eleanor Roosevelt HS, PTSA; 7601 Hanover Pkwy, Greenbelt, MD   20770.  Dues are $10 per person.  Donations are welcome. Please make checks payable to “ERHS PTSA”.

Member(s) Name(s): ___________________________________________________________________

Address: _____________________________________________________________________________

Student’s Name and Grade: ____________________________________________________________

Home Phone: ______________________ ERHS Staff, please identify Department: _______________

E-mail (please print very clearly):________________________________________________________
*************************************************************************************
1)  Membership amount:                     	  ___________(# memberships x $10 )

2)  Donation to Grad Night 2010:       	  ___________

3)  Donation to Other PTSA activities: 	  ___________

TOTAL enclosed (sum of #1, #2, #3 above):   ___________
*************************************************************************************
Please check each of the following volunteer projects with which you are willing to help (or identify each family member included on this form who would be willing to help with the project).

___ Food for PTSA/School Events	___ Science Fair Judging	___ Teacher Appreciation

___ Join the PTSA Board	___ Tutor Students	___ T-shirt Sales

___ Political Action Committee	___ Grad Night Party	___  Other Fundraising

___ Daytime Volunteer at ERHS	___ Help with School Website	 ___ Help Testing Coordinator
		        On Test Days
___ Volunteer during school day 	___  Help in Media C enter	
       At the Information Kiosk

Please list any other ways you can help ERHS PTSA: _________________________________________

_______________________________________________________________________________________

Suggestions for topics for PTSA meetings: __________________________________________________

_______________________________________________________________________________________

Other suggestions: ______________________________________________________________________

_______________________________________________________________________________________

Thank you!