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The following form will be used to collect information for PTO membership. See the complete instructions to the left.

Name
 
Date Submitted (none current)
First Name

Last Name

Phone

email

Child #1

Teacher of #1 Child

Child #2

Teacher of #2 Child

Child #3

Teacher of #3 Child

New To Mountain View Yes
No

Membership Level Basic $30
Cougar $60
Century $120
Teacher/Staff $10

Can We Link Your Harris Teeter Grocery Card Yes
No

Harris Teeter VIC Card # (12 Digits) or Phone Number

Paid online in PTO Store Yes
No