NB-PTSA Membership Form
Member Information
Full Name:
*
First
*
M.I.
Last
*
Are you a Parent, Teacher or Staff Member?
*
Parent
Teacher or Staff
Both
Address
Street Address
*
Address continued
City
*
State
*
Please select...
Please select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip
*
Home Phone #:
*
(
)
-
Cell Phone #:
*
(
)
-
Email Address:
*
Confirm Email Address:
*
Child Information
Student Name:
*
Grade:
*
Please select...
PK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Campus:
*
Please select...
Lower School
Middle School
High School
Click here to add another child
Membership Dues and Underwriting
Membership Type:
*
Faculty/Staff Membership: $15
Blue Membership: $25
Silver Membership: $50
Gold Membership - Includes 1 Luncheon Ticket: $100
Platinum Membership - Includes 2 Wine Tasting Tickets: $200
Eagle Membership - Includes 2 Wine Tasting Tickets and 1 Luncheon Ticket: $300
Soaring Eagle Membership - Includes 4 Wine Tasting Tickets and 2 Luncheon tickets: $500
Total:
$
This is the amount of your membership.
Payment Options:
*
Bill My NBPS Account
Credit Card
Check or Money Order
NBPS Account Information
Name of oldest child attending NBPS:
*
Campus of oldest child:
Please Select
Lower School
Middle School
High School
*
Credit Card Information
Please Note: After submitting this form, you will be redirected to the Auction Pay Web site where you must complete the credit card payment form.
Check or Money Order Directions
Mail or drop off check to:
ATTN: Chris Bishop, NBPS
3251 NW 101st Avenue
Coral Springs, Florida 33065
Note: Your membership will not be processed until check is received.
Volunteer Opportunities
Please click here to view our complete list of volunteer opportunities with descriptions.
2009-2010 PSTA & NBPS Programs
School programs involving all divisions: High School, Middle School and Lower School.
Please check all areas that you are interested in.
Alumnae Association
Baking Committee
Book Fair
Fall Luncheon Fashion Show and Boutique
General Volunteer (see new description!)
Mailing Committee
Online Auction
Picture Day
Spring "Event"
Teacher Holiday Luncheon and Teacher Appreciation Week
Used Uniform Sale
Walk-a-Thon
Wine Tasting Event
Lower School
Please check all areas that you are interested in. (in addition to programs listed above)
Art Room
Box Tops for Education
Chinese New Year
Cultural Festival
Family Fun Night
Grandparent’s⁄ Special Friend’s Day
Jump Rope for Heart
Library
Red Ribbon Week
Silver Graphics
Speech Screening
White Board
Are you interested in becoming a Room Parent?
Yes
No
Room Parents
Room Parent Responsibilities:
Mandatory attendance at monthly PSTA Lower School Meetings which are held on the first Tuesday of each month.
Organize parent involvement for the class, based upon your teacher’s specifications.
Provide periodic communication about school and PSTA activities to the families in your class.
Help PSTA gather volunteers from your class for events and classroom functions.
Work with Grade Representative to ensure consistency amongst all classes within your grade.
Must be a NB-PSTA member.
Middle School
Please check all areas that you are interested in. (in addition to programs listed above)
Middle School Advisory Room Parent
Comments
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