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The Pleasanton Middle School Parent Faculty Association (PFA) invites you to become a member and support our student and teacher community. Membership is just $25 and includes a directory and newsletter. You can choose between an electronic or hard copy directory. Your information will only be shared within the PFA community with your permission. Additionally, we appreciate voluntary donations to enhance our students' educational experience—suggested donation is $200 per student, but any contribution is welcome. Sign up and stay connected!
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Pleasanton Middle School Parent Faculty Association (PFA) Working to benefit the entire student & teacher community of PMSMembership & Voluntary Donation Form PFA Membership Cashier Initials/Payment Type _____ PMS PFA Membership - $25 Includes Directory and Newsletter Choose one: _____ an electronic directory _____a hard copy directory $_____________ __________ PERMISSIONDirectories are only provided to PFA family and faculty members. We must have your permission to include you in the directory. Please mark ONE of the two boxes below. _____Yes, please include the information below in the directory. ______No, please DO NOT include the information below in the directory. I acknowledge the directory information below is accurate. I understand that the directory is published expressly for the personal use of Pleasanton Middle School PFA Community. Initials: Voluntary Donation _____ PMS PFA Donation – suggested donation $200 per student (any amount is greatly appreciated and will be used to benefit all PMS students) $______________ __________ __________________________________________________________________________________________________________________________________________________________________________________________________________ DIRECTORY INFORMATION (please PRINT clearly) ____Our child / children were in last year’s directory STUDENT INFORMATIONStudent Last Name Student First Name Grade Home Phone1.___________________________________ __________________________________ _____ (_____) ______ ‐ ______ 2.___________________________________ __________________________________ _____ (_____) ______ ‐ ______ 3.___________________________________ __________________________________ _____ (_____) ______ ‐ ______ PARENT/GUARDIAN INFORMATION Last Name (Household #1) Mother First Name Father First Name Cell phone with carrier ___________________________ _________________________ _____________________ __________________________ Home Address (address, city, zip code) E-mail address ____________________________________________ _________________________________________________________ Last Name (Household #2)Mother First Name Father First Name Cell phone with carrier _____________________________ _________________________ ______________________ ____________________________ Home Address (address, city, zip code) E-mail address _______________________________________________ ___________________________________________________________
