membership and directory

Directory Form

Contact and Directory Information:

All students and their contact information are printed in the GHS directory. You must choose to have your student’s information removed. Please use the check boxes below to tell us what information you would like printed in the GHS Directory.

The GHS PTSA will not post or release any of your information to any outside organizations.

Student's Name and Grade
Student's Name and Grade
Student's Name and Grade:
Parent(s) Name:
Address
Phone Number
Student's Email:
Parent's Email
	*Please indicate your choice of information to be included in the directory by selecting ONE of the following options Please include all the information I have provided in the directory
	Please included only my child(ren)'s information in the directory
Parent's Signature:	By signing below you give permission to the GHS PTSA to print the specified information in our directory
	I do not wish to have my child(ren)’s contact information printed in the GHS Directory: For exclusion from the 2008-2009 GHS Directory, please sign below:
Parent's Signature:
	Join Our Safe Home Network! What is Safe Homes? Safe Homes of GHS is a network of parents who pledge that they (1) will be at home when their teens have parties and (2) will not allow the illegal use of alcohol, drugs or tobacco at teen parties in their home or on their property. Parents participating in this pledge will be indicated in the directory. Why Safe Homes? Many parents feel that they are the only ones who want a safe, drug and alcohol free environment for their children and feel uncomfortable talking to other adults or kids about their concerns. Research shows that parents, who set clear rules, monitor their teen’s activities, and who provided a safe environment will greatly lower the risk that their children will be involved in using alcohol, tobacco and other drugs. The GHS Parent's Pledge is not intended to be and in no way constitute a legal agreement between the households signing and the Glenelg High School Community at large. It does not in any way constitute a legal document or create a legal duty or obligation nor any personal liability to you. It is not an assumption of risk, or an agreement to assume liability for the actions of non family members who visit your homes. It is simply a tool for parents to communicate their desire to maintain a household free of drugs and alcohol. The pledge is not intended to be a substitute for responsible parenting, all parents are encouraged to contact the homes in which their children are visiting. I want to join the GHS Safe Home Network

Name(s) to be printed on the membership card(s):
	Student Combined PTSA Boosters $10
	Single Boosters Only $20
	Single PTSA Only $20
	Single Combined PTSA/Booster $30
	3 Member Family/Student Combined PTSA/Booster $60
	2 Member Family Combined PTSA/Boosters $50