Julius West Middle School (JWMS)
PTSA Membership Form 2015-2016
All JWMS parents, guardians, students, and staff are invited to join!
Please help support the Julius West Middle School Parent Teacher Student
Association (PTSA) by becoming a member! Membership Dues directly support
our students and teachers. Meeting attendance is not required but IS encouraged.
Adult Member (1)__________________________Member (2)__________________________
Email (1) ________________________________ Email (2) ___________________________
Address ______________________________________________________________________
City _______________
State ____
Zip ____________ Phone _________________________
Student Member _________________________________________
Grade _______________
Student Member _________________________________________
Grade _______________
Student Email __________________________
ANNUAL MEMBERSHIP DUES:
• One Active Voting Student
• One Active Voting Adult
• Family (2 adults & 1 student
Student Email ________________________
-------------------$ 7
-------------------$ 15
)-------------------$30
$______
$______
$______
Additional Tax Deductible Donation towards new sign fund
$______
Total Amount Due to PTSA
$______
Payment Method:
Cash Check #_______
Credit Card
Make your check payable to JWMS PTSA
Bring the form and payment to Back-to-School Night in September, or mail to:
JWMS PTSA Membership, 651 Great Falls Road, Rockville, MD 20850
Please Contact me about Volunteering: How Can YOU Help?
Board Position
Activity Chair
One-Off Events
JWMS PTSA:
• Sponsors cultural arts and drama events for each grade level.
• Provides informational programs for parents.
• Coordinates fun and engaging events for the entire school community.
• Hosts staff appreciation events to thank our faculty and support staff.
For more information contact Lisa Bosse at [email protected]
Julius West Middle School Parent Teacher Student Association 2015 to 2016