Join the Hill Valley PTO Family Registration Form Household Contact InformationPlease fill this section out entirely for our records.Family Last NameHome Phone Number:Pick a Username:*Please Pick a Password Create Password Confirm Password Strength indicator Parent / Guardian #1Please enter contact information for Parent / Guardian #1Parent / Guardian Name #1 First Last Parent / Guardian #1 Email Address Guardian #1 Cell Phone:Parent / Guardian #2Please enter contact information for Parent / Guardian #2Parent / Guardian Name #2 First Last Parent / Guardian #2 Email Address Guardian #2 Cell Phone: How many students do you have enrolled at the school?1234Student #1 InformationPlease enter your student(s) name(s) below.Student #1 Name First Last Student #1 Grade Level:K123456Student #2 Information(Optional)Student #2 Name First Last Student #2 Grade LevelK123456Student #3 Information(Optional)Student #3 Name First Last Student #3 Grade LevelK123456Student #4 Information(Optional)Student #4 Name First Last Student #4 Grade LevelK123456 Additional Contact InformationWe would appreciate it if you could provide us with additional details on your family. Portions of this data may be used as your contact info in the Student Directory if you opt to be listed in the directory below. This is optional.Can we include your family in our Phone book?YESNoPrimary Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Hill Valley PTO MembershipSelect Membership Level*Basic MemberSuper Dooper Member (popular!)Wowzers MemberSorry, No Membership for Me.Total Due to the PTO $0.00 Do you have any additional feedback? Please feel free to comment below. 2010-12-29