2026-2027 Churchill Elementary HSA Membership

2026-2027 Churchill Elementary HSA Membership

We are excited for another WILD year at Churchill! We hope that you join us in the fun! Annual membership is $10 per family.
Part 1 - Parent Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Additional Parent/Guardian Name

First NameLast Name
Additional Parent/Guardian Email
example@example.com
Are you a Churchill Staff Member?

Part 2 - Student Information

Note: If you are a Churchill staff member without children at this school, type and select "N/A" for Student 1.
Student #1 Name

First NameLast Name
Student #1 Grade
For the upcoming school year.
Student #1 Teacher
Type Unknown and HSA will update after the start of the new year!
Student #1 T-shirt Size
Student #2 Name

First NameLast Name
Student #2 Grade
For the upcoming school year.
Student #2 Teacher
Type Unknown and HSA will update after the start of the new year!
Student #2 T-shirt Size
Student #3 Name

First NameLast Name
Student #3 Grade
For the upcoming school year.
Student #3 Teacher
Type Unknown and HSA will update after the start of the new year!
Student #3 T-shirt Size
Student #4 Name

First NameLast Name
Student #4 Grade
For the upcoming school year.
Student #4 Teacher
Type Unknown and HSA will update after the start of the new year!
Student #4 T-shirt Size

Part 3 - Family Contact Information (Optional)

The following parent/student contact information will be included in the 2026-2027 Churchill Elementary Directory. If you do not want specific information included, please leave question or form blank.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Alternative Phone Number

Area CodePhone Number

Part 3 - Membership Enrollment

Complete the payment information below to enroll in the 2026-2027 Churchill Home & School Association. Thank you for joining!
Annual Family Membership to Churchill HSA:
Family Membership Fee is $10.00 per year.
Additional Donation:
If you'd like to include an additional contribution with your Membership Purchase, enter the amount here.
Total:

USDEnter Total Amount: $10.00 Membership Fee + any Additional Donations

Part 1 - Parent Information