Parent/Guardian Name(s)
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
I don't have an athlete, but want to support the JPA and Johnson athletes!
Clear
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DO NOT publish our membership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
*
Select Class Year
9
10
11
12
Please select all applicable sports
*
Aquatics
Athletic Trainer
Baseball
Boys Basketball
Boys Soccer
Boys Track
Cross Country
Football
Golf
Girls Basketball
Girls Soccer
Girls Track
Softball
Special Olympics
Tennis
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
Aquatics
Athletic Trainer
Baseball
Boys Basketball
Boys Soccer
Boys Track
Cross Country
Football
Golf
Girls Basketball
Girls Soccer
Girls Track
Softball
Special Olympics
Tennis
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
Athletic Trainer
Baseball
Boys Basketball
Boys Soccer
Boys Track
Cross Country
Football
Golf
Girls Basketball
Girls Soccer
Girls Track
Softball
Special Olympics
Tennis
Volleyball
Wrestling
Student Athlete 4
Athlete 4 First Name
Athlete 4 Last Name
Please select all applicable sports for your fourth student athlete
Aquatics
Athletic Trainer
Baseball
Boys Basketball
Boys Soccer
Boys Track
Cross Country
Football
Golf
Girls Basketball
Girls Soccer
Girls Track
Softball
Special Olympics
Tennis
Volleyball
Wrestling
Student Athlete 4 Class Year
Select Class Year
9
10
11
12
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
2024 JPA Additional Shirt
Please ensure that you have selected a membership level prior to selecting additional shirts.
$
15.00
Size
Quantity
Price
S
$
15.00
M
$
15.00
L
$
15.00
XL
$
15.00
XXL
$
18.00
Item subtotal:
$
0.00
I would like to donate $5 to the Johnson High School Special Olympics program!
$
5.00
Credit Card
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