Richard Montgomery High School PTSA
2015-16 Membership Form
Our Mission: To Support RMHS in Guiding Its Students Toward a
Meaningful and Productive Life.
Mail completed form to: RMHS PTSA, 250 Richard Montgomery Dr, Rockville, MD 20852
Parent 1 Last Name: _______________________________ First Name: ________________
Parent 2 Last Name: _______________________________ First Name: ________________
RM Child 1 Name:
__________________________________________
Grade: _______
RM Child 2 Name:
__________________________________________
Grade: _______
RM Child 3 Name:
__________________________________________
Grade: _______
Your email address(es) _______________________________________________________
Would you like to be added to the PTSA listserv?
Y N Already belong
New members only – please provide your mailing address so we can send your membership card:
Street: _________________________________________ City: _______________Zip: _________
Membership dues (Choose One):
____
____
____
One Adult . . . . . . . . .
Two Adults . . . . . . . . .
$20
$35
Alumni/Community Member $10
$________
$________
____ Family (Includes Students) . . . . $40
____ Student (per child) . . . . . . . . . . $10
____ RM Staff (Free Directory) . . . . . $10
$________
$________
Total membership dues (from above):
Student Directory - $10 each/$5 before 10/31; free for RM staff
who join. (Note: the directory is available at no charge on Edline)
Additional donation (tax deductible)
Post Prom donation (tax deductible)
$________
Total payment (please make checks payable to RMHS PTSA)
To pay using Paypal, go to:
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=EW889FY99BBDU
(If you pay with Paypal, please email the details of your membership to Lori Merrill [email protected] or complete and mail this form to the school, indicating that you paid with Paypal)
For PTSA use:
Form of payment: [
] Cash [
] Check # ______ [
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] Paypal
Entered into
spreadsheet
[ ]
Volunteering for the PTSA does not have to take
over your life.
Can you give just 2-3 hours this school year? If so, please sign up to
receive our monthly volunteer emails and only volunteer for what you
can fit into your busy life.
Name: _______________________________________________________
Email: _______________________________________________________
Student(s) name and grade: _____________________________________
_____________________________________________________________
PTSA Activities you might be interested in volunteering for:
(Expressing your interest does not commit you to anything. It just lets us know
whom we can reach out to as needed.)
____Post Prom Committee
____Career Day Speaker – Be one or help find one
____Staff Appreciation/Hospitality/Donate Food or Beverage
____MCCPTA Delegate
____Grants Committee
____Audit Committee
____Bylaws Review
____Volunteer during school hours
____Outreach to Immigrant Families (Fluency in Spanish)
Questions? Please contact our Volunteer Coordinator Gayle Santiago
[email protected] or our President Nancy Downing [email protected]
Mail completed form to: RMHS PTSA, 250 Richard Montgomery Dr, Rockville, MD 20852
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