Kearney H&s Membership Application[1]-2

General Philip Kearny Elementary School 601 Fairmount Philadelphia, PA 19123

Kearny Home and School Association Membership Application 2007 – 2008 School Year Dear Parents/Guardians, Teachers and Staff, Please join our Home and School Association and make a contribution. Your membership contribution is a crucial source of funds. Home and School cannot do the many things we do without your donations. Parent/Guardian Name(s): ___________________________________________________ Address: ____________________________________________________ Zip Code_______ Phone: _________________________________ E-mail Address: ______________________________________________________________ Student Name(s): ____________________________________ Grade/Room: __________ _____________________________________ Grade/Room: __________ _____________________________________ Grade/Room: __________ MEMBERSHIP CONTRIBUTION Please circle amount: ($5)

($10) ($20)

($25)

($50)

Other $_____

Classrooms reaching 75% membership will receive a pizza party AND $50 for classroom supplies. The participation of Kearny parents and guardians is what makes our Home and School Association strong. The Home and School meeting schedule is posted on the Home and School bulletin Board across from the auditorium. Also, do you have a skill or area of expertise that Home and School may call on if needed? Or might your place of work or employer be interested in helping our school in some way? If so, please share this information in the space below.

Students may return completed Membership Form and contributions to their homeroom teacher or to the Home and School mailbox in the school office. Thank you!