WALTER JOHNSON PTSA
2016-2017 Membership Form
By joining WJ’s PTSA you have an important opportunity to play a valuable role in the continuing
success of Walter Johnson High School. The PTSA offers speakers and events for parents and
students throughout the year, sponsors the annual Prom Breakfast and works closely with the WJ
administration to advocate for school resources.
The PTSA does not fundraise – our only support is your membership dues and contributions.
Contributions in excess of membership dues are tax deductible. Your generosity is greatly
appreciated.
Level
Amount
Number
Total $ Due
*WJ Wildcat—up to 2 adult and multiple student members
$125
$
*Gold — up to 2 adult and multiple student members
$100
$
*Silver — 1 adult multiple student members
$ 50
$
Bronze — 1 adult and 1 student member
$ 40
$
Adult
$ 25
$
Student
$ 10
$
Faculty/Staff
$ 10
$
Student Directory — freshman families receive a free directory
$ 5
$
Additional Contribution
$ ?
$
TOTAL AMOUNT DUE TO WJPTSA $
*Names will appear in the PTSA newsletter
□M □F
Adult 1:
Last
First
Last
First
Last
First
Grade
Last
First
Grade
Last
First
Grade
Last
First
□M □F
Adult 2:
□M □F
Student 1:
□M □F
Student 2:
□M □F
Student 3:
□M □F
Faculty/Staff:
Email:
Make checks payable to WJPTSA ; mail or deliver to Walter Johnson HS, 6400 Rock Spring Drive, Bethesda, MD 20814.
Credit card payments are accepted at school events or by visiting: https://squareup.com/market/walter-johnson-ptsa