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The following form will be used to collect and/or verify your address and other information for PTA membership. See the complete instructions to the right.


















Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade



Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade



Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade

Yes
No

Child Name
Parent's Name
Home Phone
Home Address
E-mail

Yes
No

Parent
Riddle Staff
PTA Lifetime member