2012 PTSA Day at the Capitol

PTSA Day at the Capitol
February 9, 2012

· You must use a personal credit card for your registration.

· Payment for on line registration will be made through Pay Pal.

· $1.00 On Line processing fee will be added to total.

· Only one registration can be processed at a time.

· Confirmations are emailed upon payment verification.

· Print a copy of confirmation for your records and reimbursement purposes.

There is no registration fee for chaperones, but chaperones must register.

Seating is limited to 300. Limited on- site registration available.

Student Registration Fee for PTSA Members $5.00

Student Registration Fee for Non PTSA Members $10.00

On Line Processing Fee $1.00

* Denotes required fields

*PTA/PTSA
*LU#
*Council
*District

Name of Student
Student is a PTSA member
Student is NOT a PTSA member
Chaperone Registration

Enter name if registering as a chaperone

Email address for confirmation receipt(s)

Daytime phone number

TOTAL