Montgomery Blair High School PTSA · 2018-19 Membership Copy

Membership Type (check all that apply)

*

Parent/Guardian

Parent/Guardian and Student

Student ONLY

Blair Teacher/Staff

Community Member

I am a

Blair Administrator

Blair Teacher

Blair Staff Member

What is Your Position at Blair?

What Subject Do You Teach?

Member Name

*

First Name

Last Name

Email

*

Verify Email

*

Landline Phone Number

Mobile Phone Number

Parent/Guardian 2 Name

First Name

Last Name

Parent/Guardian 2 Email

Verify Email

Parent/Guardian 2 Landline Phone Number

Parent/Guardian 2 Mobile Phone Number

Student Name

First Name

Last Name

Student Class Year

Student Email

Verify Email

Student Landline Phone Number

Student Mobile Phone Number

Have more than one student at Blair? After you submit this form, please return to the online membership form and fill out a Student ONLY membership form for each additional student.

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Preferred Contact Method

Email

Phone

Text

Paper mail

Interests

Listserves

Blair PTSA uses our listservs to share information with parents and encourage parents to connect with each other. If you do not wish to be included on either listserv, please uncheck the boxes below.

Add me to the announcements listserv (PTSA-Announcements)

Add me to the discussion listserv (Request PTSANet)

I'd like to help with (check all that apply)

One-off, one-day opportunities - no extended commitment

Fundraising for the PTSA: Citrus Sale, etc.

Supporting and advocating for African-American or Latino students

Making Blair's campus more beautiful

Major Events: Afterprom, International Night, etc.

Drama/Athletic Boosters

Other

What other volunteer activity are you interested in?

Donate to the PTSA!

We do not want membership dues to be a barrier for parents to join our PTSA, so Blair PTSA membership dues is by donation. Funds raised by our unit cover the Montgomery County, Maryland and National PTA membership dues ($5.25/person) and all of our activities for the year, such as AfterProm, Los Padres, minority academic achievement, and teacher MiniGrants for student programs. The average dues + donation collected last year was about $50 per member or $100 per couple. If you can match (or better yet, exceed) that amount when you sign up it will help us immensely. If you aren't able donate at this time, that's OK. Our main goal is to get everyone involved!

Donation Method

I will donate online via credit card.

I will send a check.

I am not able to donate at this time.

Amount

$200

$150

$100

$50

$20

$

Please send your check to:

Blair PTSA
51 University Blvd. East
Silver Spring, MD 20901
attn: Membership Donation