Support Your Koalas!

Don’t forget to add additional Koala Spirit Wear to your membership!!

You can even gift a PTA membership to your child’s teacher!!

2025–2026 Family VIP Membership

( 4 ) PTA memberships
( 2 ) 2025-2026 Kocurek Spirit Shirts (youth or adult)
Birthday marquee for your students

Member 1 Name

First Name

Last Name

Phone

(###)

###

####

Student Information

Please list your children's names, grade levels, and teachers.

Member 2 Name

First Name

Last Name

Member 3 Name

First Name

Last Name

Member 4 Name

First Name

Last Name

T-Shirt #1 Color

T-Shirt #1 Size

T-Shirt #2 Color

T-Shirt #2 Size

Birthday Marquee - Child 1 Name, Birthday & Favorite Color

Birthday Marquee - Child 2 Name, Birthday & Favorite Color

Birthday Marquee - Child 3 Name, Birthday & Favorite Color

Do you want to gift a Teacher/Staff Membership for an additional $25?