Ridgecrest Elementary PTA Membership Form

Member Name(s)

Complete Address

Phone Number

Email Address

Parent

Grandparent

Caregiver

Teacher

Business

Other

Student's Name

Teacher

Grade

Annual membership dues are $5.00 per person.  Checks and Money Orders are made payable to

Ridgecrest Elementary PTA (cash is also accepted).  Please complete this form, enclose your payment

in a sealed envelope and send to school with your student or drop it by the office.

Total number of PTA Memberships at $5.00 each:

Thank you

Total amount enclosed for membership dues:

for your support!