Christiansburg High School

CHS PTSA MEMBERSHIP FORM

Please fill out this form and put it in the PTSA mail box in the office.

Name:_____________________________________________________

Student's Name:___________________________Grade:___________

Volunteer Area:

After Prom: _______    Chaperone _______    Field Trips _______

Office Assistant ______    Fund Raising Committee _____

Guidance Assistant _____    Media Assistant _____

Membership Committee _____    Newsletter _____

Mom and Pop Patrol _____    Refreshments _____

Special Events _____    Tutor Students _____

Word Processing _____    Xerox Material _____

Where Can I Help _____

What other activities would you like to see the PTSA get involved with?

_____________________________________________________________

Email: ____________________ Phone:______________________

Dues: $4.00 per individual

Amount Enclosed: _____________(staple or clip to form please)

Make checks payable to CHS PTSA

THANKS FOR YOUR SUPPORT!!!!