MEMBERSHIP FORM

MEMBERSHIP APPLICATION FORM

This form is to be completed by any person wishing to become a new member of the Faulconbridge Public School P&C Association. The information collected on this form is only used internally by the P&C Association to contact members in regard to P&C Association meetings and events. The information will not be shared with other organisations in any way.

First name

Surname

Mobile

I am applying as a (please select one)

Parent Member (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)

Are you an employee of the NSW Department of Education?

YES

Do you wish your membership information to remain private?

YES

I include payment of $2 to become a financial member of the Faulconbridge Public School P&C Association. (please note: this can also be paid at www.fpspandc.org.au – please include your receipt number)

I acknowledge that by becoming a member, I agree to abide by the Constitution, by-laws, rules, policies and procedures adopted by the Faulconbridge Public School P&C Association.

I hereby certify that the information provided on this form is true and correct

Signature

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P&C Association

FAULCONBRIDGE PUBLIC SCHOOL

MEMBERSHIP FORM