Northern Valley Regional High School Demarest PTSO

NVD PTSO Membership Form 2015-2016 Dear Parents,

The NVD PTSO is busy planning for the 2015-2016 school year. We hope that your family will join the PTSO and take advantage of our parent networking, information resources, special programs/speakers, and senior scholarship opportunity*.

The PTSO raises funds for these activities primarily through membership dues and advertising in the student directory. Membership is the ONLY way to be listed in the student directory and is now open to all families by submitting the form below.

We look forward to a wonderful year and hope that you and your family will be part of the NVD PTSO!

Sincerely, The Executive Committee - [email protected]

Please clearly print name as you wish it to appear in the directory: Grade as of Student First Name Student Last Name Sept. 2015 (circle one) 1 ______9 10 11 12 2 ______9 10 11 12 3 ______9 10 11 12 Home Address: ______Home Phone #: ______Mother’s Full Name: ______Cell # ______Mother’s Email Address: ______Father’s Full Name: ______Cell # ______Father’s Email Address: ______Alternate Address (if applicable): ______Membership Options (check one): _____ $250 Platinum PTSO Membership (includes Dine-Out Card and name listed on our Platinum page in our Directory) _____ $150 Gold PTSO Membership (includes Dine-Out Card and name listed on our Gold page in our Directory) _____ $100 Silver PTSO Membership (includes Dine-Out Card and name listed on our Silver page in our Directory) _____ $75 Bronze PTSO Membership (includes Dine-Out Card and name listed on our Bronze page in our Directory) _____ $50 Premium PTSO Membership (includes Dine-Out Card good for one year; $55 Value. Pay by Sept. 11, 2015) _____ $35 PTSO Membership (Pay by Sept. 11, 2015)

Additional Options: Y N Enclosed is an additional donation to the General Scholarship fund in the amount of $______. Y N I would like to advertise in the directory; please contact me with an advertisement form. Y N I am interested in helping with a PTSO project or event. Please list what areas you would like to help out with including, but not limited to: Directory, Membership drive, Dine out card, Holiday Boutique, SAT Bootcamp, Summer Expo, Drive Safer program, Speakers, etc… ______. Please make all checks payable to: NVRHS - Demarest PTSO (do not staple checks). Mail to: NVD PTSO, c/o NVRHS, 150 Knickerbocker Road, Demarest NJ 07627

*Membership in the PTSO is required to be eligible for the Senior Scholarship Program. Each year approximately fifteen $1,000 scholarships are awarded to graduating seniors. Families of seniors will be informed of the scholarship application via email from the PTSO (note that only members in good standing as of December 31, 2015 are eligible). And don’t forget to LIKE us on FACEBOOK: Northern Valley Regional High School at Demarest PTSO