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SELWYN PTA
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Back to School Form

STUDENT INFORMATION
How many children attend Selwyn?*
Student #1 Given Name*
First Last
Student #1 "Goes By" Name
If different than Given Name.
Student #1 Teacher*
Student #1 T-shirt Size*
All students will receive a t-shirt to be worn throughout the year.
- YS
- YM
- YL
- YXL
- AS
- AM
Student #2 Given Name*
First Last
Student #2 "Goes By" Name
If different than Given Name.
Student #2 Teacher*
Student #2 T-shirt Size*
All students will receive a t-shirt to be worn throughout the year.
- YS
- YM
- YL
- YXL
- AS
- AM
Student #3 Given Name*
First Last
Student #3 "Goes By" Name
If different than Given Name.
Student #3 Teacher*
Student #3 T-shirt Size*
All students will receive a t-shirt to be worn throughout the year.
- YS
- YM
- YL
- YXL
- AS
- AM
PARENT/GUARDIAN COMMUNICATION INFORMATION
Please provide the e-mail(s) you would like to use to receive information from the PTA. This includes e-mails sent from room parents in your child's class as well as the grade level list emails. Please include a mobile number if you would like to receive text reminders from the PTA.
Parent/Guardian Name(s)*
First Last
Address (Please include street types: Dr, Ln, St, Rd, Cir, Pl, Ave)*
Street Address City State ZIP Code
Parent/Guardian Email*
Phone*
(Please use this format XXX-XXX-XXXX)
Additional Parent/Guardian Name
First Last
Additional Parent/Guardian Email
Additional Phone
(Please use this format XXX-XXX-XXXX)
Additional Address (Please include street types: Dr, Ln, St, Rd, Cir, Pl, Ave)
Street Address City State ZIP Code
DIRECTORY
The Selwyn Directory is an invaluable source of contact information for classmates, school staff, and the PTA Board. The Directory will automatically include the name, grade, and teacher of all students enrolled at Selwyn. Inclusion of contact information is optional. If you would like to have your student’s contact information published in the Directory, you are required to grant permission by checking “yes” the box below and provide the following information. If you do not wish your student’s contact information to be published please select “no”.
Directory Permission*
I hereby grant permission for Selwyn Elementary School PTA to publish the provided information in the Selwyn Elementary School Directory.
Parents reside separately and both would like to be included in the directory.
How many additional directories do you want to order?
First copy is free to each family. Each additional copy is $4/each.
ROOM PARENT
Room Parents are responsible for recruiting and scheduling volunteers, maintaining the online class calendar, and regularly communicating with the teacher and parents. If you are interested in being a room parent for your child's class, please indicate below.
If you are interested in being a room parent for your child's class, please select the class(es) below where you are willing to serve.
[More than one class can be selected by holding the CTRL key. ]
PTA MEMBERSHIP
Joining the PTA on an annual basis gives you membership in local, state and national organizations that invest in the future of all children and promote partnerships between schools and parents. Membership dues are $7 per person / $14 per couple. Please contact Julia Cheatwood at 704-582-9888 if you would like a membership card.
2020-2021 Selwyn PTA Membership
5TH GRADE ONLY
Celebrate your graduating 5th grader and spread some Selwyn pride throughout your neighborhood! Order "Where Eagles Fly" yard sign for $15 each.
How many signs would you like to order?
SUMMARY
2020-21 PTA Membership - Couple
Price: $14.00
2020-21 PTA Membership - 1 Person
Price: $7.00
Additional Directories (Qty 1)
Price: $4.00
Additional Directories (Qty 2)
Price: $8.00
Additional Directories (Qty 3)
Price: $12.00
5th Grade Sign (Qty 1)
Price: $15.00
5th Grade Sign (Qty 2)
Price: $30.00
5th Grade Sign (Qty 3)
Price: $45.00
Total
$0.00
PAYMENT OPTIONS
How do you want to pay?
*Payment must be made online or returned to your child's teacher by Wednesday, September 4.
To prevent spam, solve this simple math problem below.

Quick Links

RRR Hours and Donation
Building Blocks Donation
Signup Eagle Email and Listserv
Signup Text Reminders
Selwyn Elementary Website
Latest Eagle Email
Paypams
Selwyn Peachjar
Selwyn Printable Calendar
Selwyn Staff Favorites
School Supply List
Selwyn PTA Payments
Selwyn ABC Guide

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