Cornwall Central Middle School P.T.O.

Name (first, last):

Address: City: State: Zip:

Phone: Cell Phone #

E-Mail Address: confirm e-mail

Child's Name: Home Room Teacher: Grade:

Child's Name: Home Room Teacher: Grade:

Committees:

Fundraising
Assist Chairperson in planning and delivery of fundraising related paperwork/merchandise

Communication and Correspondence
Help with writing, copying and distribution of PTO-related materials

Grade Events

5th Grade - Class parent to assist with 5th grade emergency call chain
5th Grade - Assist Grade Coordinators with all aspects of grade-specific events
6th Grade - Assist Grade Coordinators with all aspects of grade-specific events
7th Grade - Assist Grade Coordinators with all aspects of grade-specific events
8th Grade - Assist Grade Coordinators with all aspects of grade-specific events

Faculty Luncheon
Assist in the appreciation luncheon for the Faculty, Staff and Administrators scheduled for Friday May 1, 2009

Hospitality
Plan/Purchase paper goods/beverages/foods for PTO functions
Baking
Serving
Set up/Take down

Have you sent in your membership dues check (made payable to CCMS PTO)for $10.00 in an envelope marked PTO membership? yes

Additional Information (If you are a CCMS faculty member, please let us know here):

(Clears all information!)