Kirkton PS P&C Membership Form

First name

Last name

Phone

Email

Address (Citizen members only)

I am applying as a

Parent (you are a parent/guardian or carer of a student enrolled at the school)

Citizen Member (You do not have a child at the school but your primary residence is within the school enrolment area)

I have paid / will pay the $1 membership fee to the school office or a P&C member

By submitting this form, I confirm that the information provided is accurate and that I agree to abide by the Constitution, any by-laws,

rules, policies or procedures adopted by the Kirkton Public School P&C Association.

Kirkton Public School