PTSA Membership Form 2015-2016

Join the Walt Whitman PTSA
Your membership dues -- and any additional, tax-deductible funds you donate to the PTSA -- go a long way
in enriching the Whitman experience. The membership drive is our primary fundraiser.
Your PTSA membership comes with a complimentary Whitman Directory, which will be distributed during
the fall. Non-members cannot purchase directories until December.
The PTSA supports the following with funding, volunteers or both!
 Counseling Advisory Committee
 Principal Requests for school needs
 Stressbuster’s events
 School Improvements
 Speakers on a variety of topics
 Supplemental Teacher Training
 Whitman Cluster Advocacy-including
 International Night
testimony before BOE and County Council
 Staff Appreciation and Recognition
 MCCPTA Advocacy
 Media Center
 Technology Enhancements
 Whitman App, Whitnet, and Whitcom
 Special Needs events
Three Ways to Join and Contribute
1. ONLINE at www.pay4schoolstuffonline.com.
2. BY MAIL, send your completed form and payment, made payable to Walt Whitman PTSA, to “Walt
Whitman PTSA,” Walt Whitman High School Attn: Membership, 7100 Whittier Boulevard, Bethesda,
MD 20817
3. DROP OFF your form in an envelope in the PTSA Box in the lobby at school.
________________
Student Last Name
_______________ _______
First Name
Grade
________________
Student Last Name
_______________ _______
First Name
Grade
_______________________
Parent /Guardian Last Name
_____________
First Name
_____________________ _______________ _______
Street Address
City
Zip
_____________________
_____________________
Telephone cell home work Email Address
(Circle one)
Check box if student(s) reside in multiple households.
Parent Membership @ $40
$_____
Student Membership @ $6
$_____
Staff Membership @ $6
$ _____
Extra Directories @ $5 each
$ _____
ADDITIONAL CONTRIBUTIONS $ ____
Total Enclosed
$ ________
All Memberships include one vote. ONLY Parent Memberships
include a directory. YOU MUST BE A PARENT MEMBER IN
ORDER TO PURCHASE ADDITIONAL DIRECTORIES BEFORE
DECEMBER.