Verrado SuperSTAR PTA

Membership Form

(Volunteering is not required to be a member.)

The VES PTA welcomes you as a member, please complete the information below:
Primary
Role: Parent/Guardian

Grandparent

Teacher/Staff

Other _________________________

Annual
Membership (please circle): Family Membership: $10 (2 adults) Single Membership: $7 (1 adult) Business: $25
Name(s):
_____________________________________________, _________________________________________

Address:________________________________________________________________________________________

Phone
Number(s): Home:_______________________________ Cell:_________________________________
Email:
_________________________________________________ We will not share your personal information with anyone.
Student(s):






Email is used to keep you updated on news and events for VES

Name:__________________________________ Grade:_______________________ Teacher:___________________________

Name:__________________________________ Grade:_______________________ Teacher:___________________________

Name:__________________________________ Grade:_______________________ Teacher:___________________________

Sponsor a Teacher Membership for $5 Teacher:______________

Pa ym e nt Inform ation (dues include membership in National PTA and Arizona State PTA)

Please make checks payable to Verrado SuperSTAR PTA Mailing Address: 20873 W. Sunrise Ln., Buckeye, AZ. 85396

PTA Membership Benefits Include:

FREE Admission to all VES SuperSTAR PTA Family Fun Nights & Family Fun With Learning Nights
Early Admission to select VES events
Hertz: Savings of up to 20%
MetLife Auto & Home: A group insurance p rogram that comes with special savings and benefits.
Staples Discounts
Boxed Wholesale Discounts
Sylvan Learning Center
Teen Safe Smartphone Monitoring system

For More Information Contact:

VESSuperSTAR@gmail.com

Local Office Use:

Payment Method:

Cash

Date: ______________

Check Check#_______
Initials: _____________