CCMS PTSA Membership Form

$5.00 PER MEMBERSHIP (cash or check)
Please make checks payable to: CCMS PTSA and drop off at main office. THANK YOU!

Name
Email
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
I would prefer to be contacted by:

I would prefer to be contacted by: Phone Email U.S. Mail
Member Category

Member Category Parent/Guardian Student CCMHS Staff Other Other
OPTIONAL: Areas in which I would like to help/volunteer:

OPTIONAL: Areas in which I would like to help/volunteer: Committee/Board leadership Baking for special staff events Sign up and check in for blood drives Fundraising committee Hospitality committee Scholarship committee Event planning College/career nights Campus makeover days Assisting with office tasks Other Other