Guardian 1
*
First Name
Last Name
Guardian 1 Email
*
example@example.com
Guardian 1 Phone Number
*
Guardian 2
First Name
Last Name
Guardian 2 Email
example@example.com
Guardian 2 Phone Number
May the JPA publish your name on the Active Membership Roll Call?
*
Please publish my Family Membership on the Active Member Roll Call
DO NOT publish our membership
I don't have an athlete, but want to support the JPA and Johnson athletes!
Clear
Student Athlete(s) information
Please provide your student athlete's name and sports played. This helps the JPA credit the appropriate sports teams for your family membership.
Student Athlete 1
*
Athlete First Name
Athlete Last Name
Student Athlete 1 Class Year
*
Select Class Year
9
10
11
12
Please select all applicable sports
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Aquatics
Athletic Trainer
Baseball
Basketball - Boys
Basketball - Girls
Cross Country
Football
Golf
Soccer - Boys
Soccer - Girls
Softball
Special Olympics
Tennis
Track and Field
Volleyball
Wrestling
Student Athlete 2
Athlete 2 First Name
Athlete 2 Last Name
Student Athlete 2 Class Year
Select Class Year
9
10
11
12
Please select all applicable sports for your second student athlete
Softball
Baseball
Boys Soccer
Girls Soccer
Boys Basketball
Girls Basketball
Cross Country
Track and Field
Aquatics
Football
Golf
Special Olympics
Tennis
Trainer
Volleyball
Wrestling
Student Athlete 3
Athlete 3 First Name
Athlete 3 Last Name
Student Athlete 3 Class Year
Select Class Year
9
10
11
12
Please select all applicable sports for your third student athlete
Aquatics
Baseball
Basketball - Boys
Basketball - Girls
Cross Country
Football
Golf
Soccer - Boys
Soccer - Girls
Softball
Special Olympics
Tennis
Track and Field
Trainer
Volleyball
Wrestling
Student Athlete 4
Athlete 3 First Name
Athlete 3 Last Name
Student Athlete 4 Class Year
Select Class Year
9
10
11
12
Please select all applicable sports for your fourth student athlete
Softball
Baseball
Boys Soccer
Girls Soccer
Boys Basketball
Girls Basketball
Cross Country
Track and Field
Aquatics
Football
Golf
Special Olympics
Tennis
Trainer
Volleyball
Wrestling
My Products
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100 Club Family Membership/$1000--All 100 Club members will receive a JPA T-shirt, a $150 merchandise voucher good towards all JPA merchandise. (Tax deductible $850)
$
1,000.00
Size
S
M
L
XL
XXL
Columbia Blue Family Membership/$250-- The Columbia Blue membership includes a JPA T-shirt, a $25 merchandise voucher for JPA merchandise. (Tax deductible $225)
$
250.00
Size
S
M
L
XL
XXL
Navy Level Family Membership /$100-- The Navy membership includes a JPA T-shirt, a $10 merchandise voucher for JPA merchandise. (Tax deductible $90)
$
100.00
Size
S
M
L
XL
XXL
White Level Family Membership/$50-- The White membership includes a JPA T-shirt (Tax deductible $50)
$
50.00
Size
S
M
L
XL
XXL
Additional Member T-shirts
Size
Quantity
Price
S
$
10.00
M
$
10.00
L
$
10.00
XL
$
10.00
XXL
$
12.00
Item subtotal:
$
0.00
I would like to donate $5 to the Johnson High School Special Olympics program!
$
5.00
2021 JPA Shirt Surplus - Only $5!
Limited Quantities Available
Size
Quantity
Price
S
$
5.00
L
$
5.00
XL
$
5.00
Item subtotal:
$
0.00
2020 JPA Shirt Surplus -Only $5!
Limited Quantities Available
Size
Quantity
Price
S
$
5.00
L
$
5.00
XL
$
5.00
XXL
$
5.00
Item subtotal:
$
0.00
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