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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 $40
Cougar $70
Century $130
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