Name Spouse

Address

City State Zip Code

Home # Work # Cell #

Email Address

Re-Enter Email Address

Alternate Email

Company

Compacy Contact for Sponsorships

Spouse's Company

Compacy Contact for Sponsorships

ATHLETIC BOOSTER CLUB
MEMBERSHIP LEVELS
Please make your Membership Level selection.
Please Note: Once you submit your Membership Application, you will be routed to another page where you will
choose the same Membership Level and be directed to PayPal where you will finalize your payment.
Just submitting the Membership Application does not finalize your Application. You must follow the
directions for submitting your Membership Dues through PayPal.

$100 GOLD MEMBERSHIP
One Booster Club T-Shirt OR Visor,
PLUS One Booster Canvas Bag
and a Gold Pirate Window Decal

$50 SILVER MEMBERSHIP
One Booster Club T-Shirt, Visor,
OR One Booster Canvas Bag
and a Silver Pirate Window Decal

$25 BRONZE MEMBERSHIP
One Booster Club T-Shirt OR Visor,
and a Bronze Pirate Window Decal