Print out this membership form to fill it out. We need this information to
update our database with the most accurate information.
(Make check payable to
Parents for Public Schools of Syracuse and mail to:
Parents for Public Schools of Syracuse, Inc., P.O. Box 6043 Syracuse, NY
13217-6043
(Membership and contributions are tax deductible.)
Name________________________________________________________________________
Address________________________________________________ Zip Code______________
Home Tel ________________________________E-Mail_______________________________
Work Tel _______________________________ Occupation
(optional)_____________________
Preferred method of contact: Postal mail_____ email_____
If two adults in the same household are joining, please fill out the following:
2nd Adult’s Name_______________________________ E-mail___________________________
Work Tel__________________________________ Occupation (optional)___________________
Preferred method of contact: Postal mail_____ email_____
Child's year of birth
Current school name
1._______________________________
__________________________________________
2._______________________________
__________________________________________
3._______________________________
__________________________________________
I do not have a child in Syracuse schools at present:_________________
I would like my membership to be at this level:**
____$5 Membership ____$20
Contributing
Membership ___$100 Sustaining Membership
____$10 Family Membership
____$50 Supporting Membership ___Other
Amount $________
**
No one will be denied membership due to lack of funds.
I would like to be involved on the following PPS committee/s:
____Membership/Outreach
____Fundraising
____Celebration of Excellence
____Political Action
____Newsletter
PPS School Connection: We are looking for PPS members willing to distribute
information and make announcements about PPS at PTO meetings in their schools and who
would also call, E-mail or bring to PPS meetings parent feedback, questions and
concerns from their schools.
____Please send me more information.
If you would like to be the PPS connection to your child's school
Contact Us.