Welcome to Great Seneca Creek Elementary School (GSCES).
Our PTA invites you to join the PTA for the 2015-2016 school year!
Join the PTA today and become a member of an organization that advocates for our children at the national,
state, and local levels!
By becoming a PTA member, you are entitled to voting rights at the General Membership Meetings held once a
month in the media center. The PTA provides one free student directory to PTA Members only, which we will
distribute in early November.
At GSCES, your PTA Membership…..
o Provides funds to purchase additional technology to be used by the staff and students in the classrooms.
o Allows GSCES to offer Fall/Spring Afterschool Clubs.
o Supports social events including Back to School Picnic, Spring Carnival, Bingo Night, and many others.
GREAT SENECA CREEK ES PTA MEMBERSHIP AND DIRECTORY INFORMATION 2015-2016
WEBSITE: HTTP://WWW.MONTGOMERYSCHOOLSMD.ORG/SCHOOLS/GREATSENECACREEKES/PTA
MEMBER DETAILS
Member First Name:
Member First Name:
Member Last Name:
Member Last Name:
Member Phone Number:
Member Phone Number:
Member E-Mail: *
Member E-Mail: *
*Member E-Mail is required for access to GSCES PTA Members Only online directory. By providing your e-mail you will automatically be added to our e-mail
communications. These e-mails are strictly for communication purposes. We will not sell, trade, or giveaway your information.
STUDENT(S) INFORMATION
First Name:
Last Name:
Teacher:
First Name:
Last Name:
Teacher:
First Name:
Last Name:
Teacher:
FREE MONEY FOR GREAT SENECA CREEK ES, GIANT FOOD/SAFEWAY/VIC CASH-FOR-SCHOOL REGISTRATION
Remember, even if you registered your card(s) last year, you must re-register each year for GSCES to receive credit.

Please register my Giant Bonus Card for Great Seneca Creek ES PTA
Giant Bonus Card 12-Digit Number ______________________________ First 3 Letters of your last name __________

Please register my Safeway Club Card for Great Seneca Creek ES PTA
Safeway Club Card Number (not Phone Number) ______________________________
Check one: New Registration __ Renewal __ Full Name of Person who registered the Club Card ___________________

Please register my Harris Teeter VIC Card for Great Seneca Creek ES PTA
VIC Card 11-Digit Number__________________________________________
GSCES PTA MEMBERSHIP FEES

Family Membership- $17 (Includes 2 votes on important PTA issues and 1 GSCES PTA School Directory)
$

Individual Membership-$12 (Includes 1 vote on important PTA issues and 1 GSCES PTA School Directory)
$

Additional Tax Deductible Contribution to the PTA.
Participation is optional and 100% of your contribution will subsidize the cost of PTA sponsored events, programs, and expenses.
$

Additional Directories ($5.00 each)
$
Total:
Return this application with your check made out to GSCES PTA to the Front Office or mail it to:
GSCES PTA c/o Great Seneca Creek ES, 13010 Dairymaid Drive, Germantown, MD 20874
Questions? Please contact Dominique King Membership chair [email protected]
Date Form Received:
o
Cash
o
Check #
o
Credit Card