Malakoff Elementary

PTO 2010-2011 PTO Membership Form $5.00 per member

Member Information	Member 1	Member 2	Family
Name of Person Joining PTO
Relationship to Child (Please check one.)	□Parent □Grandparent □Teacher □Friend/Neighbor □Staff □Other: ________________	□Parent □Grandparent □Teacher □Friend/Neighbor □Staff □Other: __________________	□Parent □Grandparent □Teacher □Friend/Neighbor □Staff □Other: __________________
Street Address City, State, Zip
Phone Number
Email Address

Child’s Name:	Teacher	Grade
1.
2.
3.
4.

Item	Amount
Tiger Family: $20.00	$
Tiger: _____ members x $5.00 per member	$
Total Enclosed (Please make checks payable to Malakoff Elementary PTO)	$

“Be A Team Player” by joining Malakoff Elementary PTO!

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PTO Use Only: Date ____________ □Cash □Check # ________ Membership No(s): (1) ___________ (2) ___________ Completed by ________________

□ Tiger back pack issued □ Paw for Tigers Issued □ Input into roster

Malakoff Elementary PTO

Tiger Family - $20

You will receive 1 drawstring back pack,

a car decal and voting privileges.

Tiger - $5

This is a single membership gives one person voting

privileges and a car decal.

Thanks for supporting Malakoff Elementary PTO!

Our goal is to have one membership per student at Malakoff Elementary!