12201 New Hampshire Ave., Silver Spring, MD 20904
2015-2016 White Oak Middle School
PTSA Membership Form
(With your paid membership, you will automatically become a member of the WOMS PTSA and the County, State and National PTA)
Parent Name (First) ____________________________________
(Last) ____________________________________________
Mailing Address _________________________________________________ City/Zip _________________________________
Phone # _____________________________________________ Email address ______________________________________
Student(s) Name _________________________________________________________________________ Grade _________
PTSA Membership Dues 2015-2016
Family (1 parent/1 student)
Additional Student or Family member
Teacher/Faculty member
Direct Donation*: $10 _______
$15 _____
$5 each _____
$7 _____
$25_______ $50_______ $75 _______ $100 _______ Other $_______
*Donations are tax deductible. Your donation will be used entirely to programs that support our students and teachers.
Total Enclosed: $ _____________ Cash or Check (please circle one)
Please make check payable to WOMS PTSA. You may return this form and payment to school with your student or mail to
White Oak Middle School, Attn: WOMS PTSA, 12201 New Hampshire Ave, Silver Spring, MD 20904. Please do not mail cash.
PTSA Volunteer Interest
We depend on Volunteer Help! We know you are busy! No long term commitment required. Can we contact you?
Yes, the PTSA can contact me.
Get Connected! All about the White Oak PTSA ListServ (Oaknet)
The PTSA maintains a Yahoo email listserv named Oaknet to send and receive information about the school. We will automatically
add your email address to the listserv OR you can send a blank email message to [email protected] or visit the
link http://groups.yahoo.com/group/oaknet/ and click on the Join This Group! button. This is a great way to stay connected to
school and other families! Questions or having problems signing up? Contact Morgan Pearson Theriot at [email protected]