Riverside High School Alumni Association

Personal Information

Full Name *

Please enter your full name.

Maiden Name (if applicable)

Class Year

Staff Service Years

Complete if you served as a Riverside staff member

I am a Community Member (non-graduate supporter)

Street Address *

Please enter your street address.

City *

Please enter your city.

State *

Required.

ZIP *

Required.

Home Phone

Cell Phone

Email Address

Yes, I would like to receive the alumni newsletter Yes, include my name and contact info in the alumni directory on the website

Lifetime Membership Dues: $25.00

Please make checks payable to: Riverside High School Alumni Association

Mail completed form and payment to:

Riverside High School Alumni Association
585 Riverside Drive
Painesville, OH 44077

Your membership helps preserve the legacy of Riverside High School and supports alumni programs and scholarships.

Payment Method

I am enclosing a check

I will pay at the next alumni event

I am paying by credit card

Date *

Please select a date.

By submitting this form, I confirm that the information above is accurate.