Paetow Athletic Booster Club
2020-2021 Membership Form
MEMBER INFORMATION:
Name
*
Parent Last Name
Parent(s) First Name(s)
Address
*
Mailing Address
Street Address Line 2
City
State / Province
Zip
Phone (1):
*
Email (1):
*
example@example.com
Phone (2):
Email (2):
example@example.com
How Should Name Be Listed In Program:
*
Enter exactly as name should appear
PANTHER ATHLETE INFORMATION:
1st Athlete Name:
*
*
Male
Female
Grade:
*
Sport(s):
*
2nd Athlete Name:
Male
Female
Grade:
Sport(s):
ANNUAL MEMBERSHIP LEVEL:
Choose One:
*
$10 GRANDPARENT/FACULTY/TEACHER
$55 PANTHER
$100 BRONZE
$250 SILVER
$500 GOLD
$1000 PLATINUM
Additional Donation(s) to a Specific Sport and Amount(s)
Funds are deposited into the general fund. You may make an additional donation to a specific sport(s) by indicating the sport(s) and amount(s) below.
Sport #1:
Amount $:
Sport #2:
Amount $:
Sport #3:
Amount $:
Total ADDITIONAL Amount $:
Would you like to be contacted for volunteer opportunities?
*
Yes
No
Does your company match donated funds? If so please enter the company name
?
Company Name
Total 2020-2021 Membership Amount $:
Credit Card Total $:
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