Ocean Lakes Elementary School PTA Membership

(Please make checks payable to OLES PTA)

Memberships $5 each
Please PRINT clearly.

Member Name:_________________________________________________________Relationship to Student:_________________________________

Street Address:_____________________________________________________________________________Zip:_________________________________
Phone:________________________________Email Address:____________________________________________________________________________
Member Name: ________________________________________________________Relationship to Student:_________________________________
Street Address:_____________________________________________________________________________Zip:_________________________________
Phone:________________________________Email Address:____________________________________________________________________________
(list additional members and information on back if needed)
Which class/classes would
you like to receive credit for
your membership(s)?
(One per membership)

Teacher:____________________Grade:___________Student Name:_________________________________
_______________________________________________Teacher___________
Teacher:____________________Grade:___________Student Name:_________________________________
_____________________________Teacher___________
Teacher:____________________Grade:___________Student Name:_________________________________
_______________________________________________Teacher_________________________________________
_____________________________Teacher___________
(List more on back if needed)

Number of memberships:_______________________x $5 each = $_________ attached

May we share your information with the Volunteer Coordinator so you can be made aware of volunteer opportunities? Yes
No
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -------------------------------------------------Ocean Lakes Elementary School PTA Membership
(Please make checks payable to OLES PTA)
Memberships $5 each
Please PRINT clearly.

Member Name:______________________________________Relationship to Student:_________________________________

Street Address:___________________________________________________________Zip:_________________________________
Phone:_____________Email Address:____________________________________________________________________________
Member Name: ________________________________________________________Relationship to Student:_________________________________
Street Address:_____________________________________________________________________________Zip:_________________________________
Phone:________________________________Email Address:____________________________________________________________________________
(list additional members and information on back if needed)
Which class/classes would
you like to receive credit for
your membership(s)?
(one per membership)

Teacher:____________________Grade:___________Student Name:
_______________________________________________
Teacher___________
Teacher:____________________Grade:___________Student Name:
_______________________________________________Teacher___________
Teacher:____________________Grade:___________Student Name:
_______________________________________________
Teacher_____________________________________________
(List more on back if needed)

Number of memberships:_______________________x $5 each = $_________ attached

May we share your information with the Volunteer Coordinator so you can be made aware of volunteer opportunities? Yes
No