22-23 Centennial Academy PTA Membership Form

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Thank you for your interest in the Centennial Academy PTA. All membership matters.
Please let us know how we can stay in contact with you!

Name (Adult) *

Email *

Phone number

Please identify your CA affiliation

CA Parent

CA Faculty Member (Instructional)

CA Staff Member (Administration and Support)

Community Member

Other

Clear selection

Please indicate how many PTA members are in your household.

Other than yourself, please include additional PTA members in your household (names and email)

Scholar's First Name

If you do not have a currently enrolled scholar, please list NA

Scholar's Grade Level

If you do not have a currently enrolled scholar, please list NA

Scholar's Homeroom Teacher

If you do not have an currently enrolled scholar, please list NA

Are you interested in joining a committee?

More information is available upon selection

CA Dads

Communications

Curriculum

Executive Committee (President, Vice-President, Secretary, Treasurer)

Events

Fundraising

Membership

Wellness & Campus Beautification

Not at this time but keep me in the know!

Please place me where there is a need.

Do you have any ideas for the PTA this year?

In order to continue to support programs, events and educational efforts, the PTA collects an annual $10.00 membership due. Your membership due is valid for the 22-23 school year.

Acceptable payments include:

Check (Made payble to Centennial Academy PTA)

CashApp ($CentennialAcademyPTA)

Paypal (Paypal.me/CentennialAcademyPTA)

Thank you!

Paypal QR Code

Option 1

Clear selection

CashApp QR Code

Invoice Me Later

Please invoice me later

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Submit

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