Membership Form
Family Last Name ________________________________________________________
Name(s) and Grade(s) of Students ____________________________________________
____________________________________________
Mother’s Name __________________________________________________________
Father’s Name ___________________________________________________________
Guardian’s Name _________________________________________________________
Home Address ___________________________________________________________
___________________________________________________________
Home Number ________________________ Cell # _____________________________
E-Mail _________________________________________________________________
Parish/ Church ___________________________________________________________
Please return this form to Bishop McDevitt Activities Office or at Back-to- School Night with the annual dues of $15.00/family.
c/o Activities Office
Make all checks
payable to Bishop McDevitt Parents’
Association
*Join and receive your student directory
and a chance to win a $100 gift certificate to a food store of your choice.
Drawing to take place at the September 25 Parent Meeting.