Watkins Mill High School
PTSA | Booster Club Registration
Academic Year 2015-2016
FAMILY Membership Fee $30

INDIVIDUAL Membership Fee (select below)
Family membership for the PTSA and
Booster Club includes parent/guardians
and all WMHS students in your family.
Additional Donations
Parent/Guardian $15 
Student
$5 
Watkins Mill Staff $10 
PTSA $ ___________
Booster Club $ ___________
TOTAL Amount Paid $ ___________
Please make check payable to WMHS PTSA
Member Information
 Parent/Guardian
 Watkins Mill Staff
Adult Name
Email Address
fg
Phone
 Parent/Guardian
 Watkins Mill Staff
Adult Name
Email Address
Phone
Family/Student Mailing Address
Street Address
City & Zip Code
Phone
NOTE: Student membership is required to be eligible for 2016 PTSA / Booster Club scholarships.
Student Name
Class
of:
Email Address
Extracurricular
Activities/Sports
Student Name
Class
of:
Email Address
Extracurricular
Activities/Sports
Please mail or deliver completed form to Watkins Mill HS PTSA | 10301 Apple Ridge Road | Montgomery Village, MD 20879