2022-23 Jaguar Pride Association Membership

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Please publish my Family Membership on the Active Member Roll Call DO NOT publish our membership
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 *
Please select all applicable sports *

Aquatics Baseball Basketball - Boys Basketball - Girls Cross Country Football Golf Soccer - Boys Soccer - Girls Softball Special Olympics Tennis Track and Field Trainer Volleyball Wrestling
Please select level of sport for athlete

Freshman Team Varsity JV Team To be determined
Student Athlete 2

Athlete 2 First Name Athlete 2 Last Name
Student Athlete 2 Class Year
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
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

JPA Membership Levels *

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

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

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

White Level Family Membership/$50-- The White membership includes a JPA T-shirt (Tax deductible $50)

$ 50.00 Size

Additional Member T-shirts

Size	Quantity	Price
S		$ 10.00
M		$ 10.00
L		$ 10.00
XL		$ 10.00
XXL		$ 12.00
XXXL		$ 13.00

Item subtotal: $ 0.00

I would like to donate $5 to the Johnson High School Special Olympics program!

$ 5.00

Total

$ 0.00

Credit Card

Should be Empty:

Student Athlete(s) information

Credit Card