2017-2018 North Star Booster Club Membership Form

2018-2019 North Star Booster Club Membership Form

Please complete all questions.
Name *

First Name Last Name
Spouse/Other Name

First Name Last Name

Address *

E-mail *

Confirmation Email Must provide to receive booster club email updates
Additional E-mail (spouse/work)

Confirmation Email
Home Number

- Area Code Phone Number
Cell Number

- Area Code Phone Number
Work/Other Number

- Area Code Phone Number
Please indicate which phone # you prefer to be reached at, if necessary.

Home Cell Work/Other
Name of North Star Student
Grade
Name of North Star Student
Grade
Name of North Star Student
Grade
Payment Options *

Online/PayPal (electronic fees included) Check
Membership Options

One Year Household Membership $ 20.76

One Year Single Parent Household $ 10.53
One Year Household Membership: $20
Single Parent Household: $10
LNS Staff/Coaches: $0

Make checks payable to: North Star Booster Club

Drop off payment to:
Lincoln North Star High School Athletic Office

OR

Bring to GatorFest

OR

North Star Booster Club
c/o Keith Mandachit
520 W. Carrine Dr.
Lincoln, NE 68521
Follow us on Twitter/Facebook: @LNSBoosterClub

Email questions to: northstarboosterclub@gmail.com
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