2020-2021 membership form

ERMA PTA

2020-2021 membership sign-up form

Membership type

A payment processing fee of $0.30 + 2.2% (what we get charged) will be added to the total.

Name *

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Name *

First

Last

Email

Phone

Consent

YES, I agree that this information may be shared with other members via the student directory
YES, I agree that pictures of my child(ren) may be used on the Eagle Rock online sites (school website, ERMA PTA website, ERMA PTA Facebook page)
YES, I agree to receive occasional emails to keep me up-to-date with PTA news and events

We are committed to protecting your privacy. We do not sell or otherwise make your information available to anyone else.

Total

$ 0.00

Credit/debit card *

Card

Name on Card

X