Back to School Form Student Information How many students do you have attending Alexander Graham Middle School?(Required)—123Student Name(Required) First Name Last Name Student Grade(Required)Student 2 Name(Required) First Name Last Name Student Grade(Required)Student 3 Name(Required) First Name Last Name Student Grade(Required)Parent/Guardian Name(Required) First Name Last Name Primary Email(Required) Primary Phone(Required)Primary Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PTO Volunteer Opportunities Make an impact on your child’s education and experience at AG by volunteering! Each volunteer will be contacted by the Committee Chairs when your help is needed. Thank you for your time and commitment!Name First Name Last Name Primary Email Primary PhoneThe PTO is seeking engagement from all AGMS families. To help us meet and track this goal, please provide your elementary school.Elementary School—Billingsville-Cotswold ElementaryMontclaire ElementaryPinewood ElementarySelwyn ElementarySharon ElementaryOther CMS SchoolOther non-CMS SchoolName of Other SchoolSTAFF SUPPORTSelect all committees of interest: Campus Beautification: Assist with maintenance and upkeep of campus Exterior (landscaping, flowers, clean-up), and Interior (clean media center, front office, counselors’ office, teachers’ lounge, and more). Media Center: Assist with shelving, labeling, check-out, and helping the media specialist with various projects. Training provided. Weekly or monthly shifts available. (AM only) Office Volunteer: Provide office support on a regular weekly or monthly basis including checking in/out students, filing, helping in health room, and other duties. Training provided. Staff Appreciation: Provide items that can be homemade or store bought approximately 2-3 times per year. Flexible timing and easy! PARENT AND STUDENT SUPPORTSelect all committees of interest: 6th Grade Events: Help with 6th grade parent lunch, grade level coffee, year-end fun days, or chaperone field trips. Flexible schedule during school day. 7th Grade Events: Help with grade level coffee, year-end fun days, or chaperone field trips. Flexible schedule during school day. 8th Grade Events: Help with grade level coffee, year-end fun days, or chaperone field trips. Flexible schedule during school day. After School Clubs: Work with staff liaison to coordinate instructors, facilities, schedules, and communications. Bulldog Bonanza/MayDay PlayDay: Help with these fun family events held in the Fall & Spring. Diversity/Inclusion: Help voice opinions to include our whole school community. Grant Support: Help find grant opportunities and work with team to apply for grant approvals. Inreach: Provide assistance to students and counselors at our school. Help coordinate collection drives for external charities. Proctoring: Monitor classrooms during testing events during the year, especially in May (8:00am-12:00pm) Prospective Families: Assist as greeters or with hospitality at AG Open Houses for prospective families. Spirit Wear: Help sell spirit wear at AG school and sporting events throughout the year. Go Bulldogs! School Tours: Serve as a tour guide during AGMS school hours for prospective parents and students in the winter and spring. Training provided. Yearbook: Assist with administration, advertising, sales, and distribution. General Volunteer: Called on throughout the year to help with events and projects as needed during school day and after school hours. Special Skills: (Please specify below)If you have a special skill (fundraising, marketing, construction, painting, landscaping, foreign languages, photography, videography, etc.), please consider sharing! Consolidated Payment Form STUDENT FEESStudent fees pay for instructional and curriculum support. ($35 Per Student)Number of students attending AGMS—1 student2 students3 studentsI am unable to pay at this time.Student Fees – 1 Student Price: Student Fees – 2 Students Price: Student Fees – 3 Students Price: Please consider donating for those who are unable to pay fees. ~Thank you!Student Scholarship/Donation Amount PTO MEMBERSHIPJoining the PTO gives you membership in our AG Parent Teacher Organization which is an investment in the future of all our children and promotes partnerships between AG staff, teachers, and parents. ($5 Per Family.) Would you like to join the PTO today?—YesNoAnnual PTO Membership Price: THE ANNUAL AG FUNDDonate today, it’s the Bulldog Way! The AG Fund is the PTO’s primary annual fundraiser where 100% of the money raised is used to support students and staff at our school. Would you like to contribute to The AG Fund today?—I would like to donate now.I would like to wait until the campaign kicks off.I would not like to donate.AG Fund Donation Amount Is this donation eligible for Corporate Matching by your Employer?(Required)—YesNoEmployer NameEmployer Match AmountPAYMENTYour donation/payment is securely processed through our partnership with PayPal, Inc., which deducts a transaction fee of approximately 3% to cover credit card fees, bank fees, and other processing costs. *Please consider chipping in the additional 3% so that 100% of your donation/payment goes to our school. PayPal – Select One Donate/Pay 100% – Add 3% so that 100% of my donation/payment goes to AG Middle School. Donate/Pay 97% – I understand PayPal, Inc. will deduct 3% of my donation/payment to cover transaction costs. PayPal Fee Price: $0.00 Total Once you click Submit, you will be directed to PayPal and presented with two options to complete your donation/payment: If you have a PayPal Account, Click ‘Donate/Pay with PayPal’. If you want to pay with a credit card, Click ‘Donate/Pay with Card’.
