2021-2022 PTA Membership and Classroom Fund Form ELE PTA Membership and Classroom Funds FormIs your family new to Elizabeth Lane? (1st-5th grade only)If you're new to our ELE family, let us know! We have a team of seasoned ELE families who will reach out to you to welcome you and help you find answers to any questions you might have. Yes No ELE PTA MembershipBy purchasing a membership you are investing in your child(ren)'s education. Portions of your fee go toward the National and North Carolina PTAs, giving our families a voice to those making decisions that affect our children's schools and education. PTA Membership ($5/Member, $10 if both parents/guardians join) Price: $5.00 Quantity: Name - PTA Member #1 First Last Email Address - PTA Member #1 Name - PTA Member #2 (if applicable) First Last Email Address - PTA Member #2 (if applicable) Please provide a separate email address for each member (i.e. not just a family email address) as the NCPTA requires us to provide a first/last name and a unique email address for each member.Student Information and Classroom FundPlease list all Elizabeth Lane students in your family and check the appropriate boxes to contribute to the Classroom Fund. Classroom Funds are used for celebrations, supplies and other needs. How many Elizabeth Lane students do you have?* 0 1 2 3 4 **The "0" option is available for those wanting to support and actively participate in the ELE PTA, but do not have a student enrolled; for example: a teacher, extended family member of a student or a family choosing to homeschool this school year.Student #1 - Name First Last Student #1 - Grade*Select GradeKindergarten12345N/AStudent #1 - Teacher* Student #1 - Classroom Fund Price: $10.00 Quantity: Student #2 - Name First Last Student #2 - Grade*Select GradeKindergarten12345Student #2 - Teacher* Student #2 - Classroom Fund Price: $10.00 Quantity: Student #3 - Name First Last Student #3 - Grade*Select GradeKindergarten12345Student #3 - Teacher* Student #3 - Classroom Fund Price: $10.00 Quantity: Student #4 - Name First Last Student #4 - Grade*Select GradeKindergarten12345Student #4 - Teacher* Student #4 - Classroom Fund Price: $10.00 Quantity: Grand TotalPayment OptionsPay Online via Paypal/Credit CardPrint Form and Mail with CheckTotal $0.00 Billing Address for PayPal ProcessingName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code To prevent spam, please solve simple math problem below.