Temperance Kutner Elementary

Parent Teacher Club

Membership & Parent Volunteer Form

Next year, I will have students in grades: TK/K 1 2	3 4 5	6 Please indicate in which area(s) you would like to help:

Communications ❒Social Media ❒Membership ❒Photocopying ❒Event Posters ❒No Preference

Spirit/Hospitality ❒Event Greeter ❒Spirit Wear
❒Meals/Refreshments ❒Teacher Appreciation ❒No Preference

Family Events
❒Back to School Night ❒Family Night @ Blackbeard’s ❒Movie Nights
❒Carnival ❒Holiday Shop ❒Daughter Event ❒Son Event ❒Open House ❒No Preference

Fundraising
❒Box Tops for Education ❒Organizing/Networking
❒In Store Fundraiser Opportunities ❒Snack Shack
❒Scheduling Fundraisers ❒No Preference

Name(s)____________________________________________Date____________ Address____________________________________________________________ Phone (___) ______________Email______________________________________ Student Name _____________________________ Grade _____ Room #________ Student Name _____________________________ Grade _____ Room #________ Student Name _____________________________ Grade _____ Room #________

❒$5 General Membership
❒$10 Silver Membership-(1 Movie Night Ticket)
❒$25 Gold Membership-(2 Movie Night Tickets, $5 Snack Shack Bucks)
❒$100 Platinum Membership-(2 Movie Night Tickets, $20 Snack Shack Bucks, Yearbook)

Fees Paid: □ Cash □ Check #_________ □ Venmo @temperancekutner-PTC

□ General □ Silver □ Gold □ Platinum	PTC Board Member Initials: _______