2019 - 2020 Granite PTA Registration

Granite PTA Registration Form

Please complete required fields.
Member Name

First NameLast Name
Gender
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Primary Phone

Area CodePhone Number
2nd Member Name (if couple membership)

First NameLast Name
Gender
Home Address (complete if different from Primary Member)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
example@example.com
Primary Phone

Area CodePhone Number
Membership is required to purchase the Student Directory. If you're already a member, you may select only the Student Directory.
Membership Fee & Donations
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PTA Membership - Individual$6.00

PTA Membership - Couple$12.00

Student Directory$4.00

Total $0.00
Child #1

First NameLast Name
Grade
Child #2

First NameLast Name
Grade
Child #3

First NameLast Name
Grade
Child #4

First NameLast Name
Grade
Should be Empty:

Granite PTA Registration Form