2019 - 2020 Granite PTA Registration

Granite PTA Registration Form

Please complete required fields.
Member Name*

First NameLast Name
Gender*

FemaleMaleI prefer not to answer
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Primary Phone*

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

First NameLast Name
Gender

FemaleMaleI prefer not to answer
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
CellHome
Membership is required to purchase the Student Directory. If you're already a member, you may select only the Student Directory.
Membership Fee & Donations*
prevnext( X )
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