The Attention Deficit Association

Mail: c/o  3017 131 Ave,

Edmonton, AB  T5A 2Y9

Phone: 780-406-5212

Email: tadaedmonton@hotmail.com

We have adopted the "Johnny Jump Up" as our Flower

Check One : 

____New Membership/ Renewal  $20            

____I wish to make a donation of

$____________.  I realize that that

TADA is not a charitable organization

 and will not issue a receipt.

I am interested in ADHD  as a:  (Circle one)  

 Parent       Doctor             Patient         

    Mental Health Professional         

Teacher                  Other

Name____________________________

Occupation________________________

Address__________________________

City_____________________________

Province ______   Postal Code _________

Tel/Day__________________________

Tel/Eve__________________________

Email____________________________

Information collected in Membership forms is used by TADA for it's own personal use.  It will never be sold or shared with others.  At times we are contacted by research people, journalists  or others trying to reach someone with ADHD.  At times like these, TADA will NOT release your information but will contact you and see if you are interested in participating and give you the contact information.

ALL information is kept CONFIDENTIAL and used only by the Executive board.