2014-2015 AES PTO

Membership Form
Are you a parent? (circle) Y / N

Are you a teacher? (circle) Y / N

Please provide us with your contact info

Parent #1

Parent #2

Name:

Name:

Email:
Phone:
Student Name/Grade/Teacher
1.
Student Name/Grade/Teacher
2.

Email:
Phone:
Student Name/Grade/Teacher
3.
Student Name/Grade/Teacher
4.

Would you like to be included in the AES Online Directory? (circle) Y / N

The AES Printed Directory? (circle) Y / N

==================================================================================

SPOTLIGHT on STUDENTS
You can make one check your ticket to AES FUN!!

Soaring
Eagle
Gold Eagle

Silver
Eagle

AES
Spiritwear
Red tshirt
(circle)
YS AS

Spiritwear
Pullover
Hoodie
(circle)

Spiritwear
Pajama
Pants
(circle)

Carnival
Tickets

YS AS

YS AS

$40

YM AM

YM AM

YM AM

YL AL

YL AL

YL AL

YS AS

YS AS

$20

YM AM

YM AM

YL AL

YL AL

Movie
Night
Tickets

5K
Road
Race

Yearbook
Or
Directory

Giving
Level

4
admissions

4 bibs

One of
Each

$500

4
admissions

2 bibs

One
Directory

$250

(subject to
rainout)

4
admissions

YS AS
YM AM

$100

YL AL

Alternate Spotlight on Students DONATION:

Would you like to purchase a YEARBOOK (@ $28 each)?

$_______
#_____ x $28 =

$______

Spirit Wear

$_______

AES Student Directory (printed after class placement is finalized) @ $7 each

$_______

Total Payment:

$_______

Make checks payable to AES PTO (Donation is tax deductible. Tax ID# 27-3570899)
NSF checks subject to fees.

PTO Initials:

Date:

Amount Received:

Check #

Cash

Credit Card