S3.amazonaws.com



Parent Information:Last Name:First Name(s):Business Name:Address:Zip Code:Email:Home Phone #Mobile Phone #Student Information:Last NameFirst NameM/FGradeSport(s)STUDENTS OF FAMILIES THAT MAINTAIN CLARK ATHLETIC BOOSTER CLUB MEMBERSHIP DURING ALL YEARS THAT THE STUDENT PARTICIPATES IN A CLARK HIGH SCHOOL SPORT WILL BE ELIGIBLE TO APPLY FOR THE BOOSTER CLUB SCHOLARSHIPS AWARDED DURING THE STUDENT’S SENIOR YEAR.Membership Level:MAKE CHECKS PAYABLE TO: Clark Athletic Booster ClubCheck below:LevelMembership Dues Per FamilyReceiveBasic$25Membership + Stone Car CoastersBlack$25 + $50 = $75Membership + Dual Car ChargerSilver$25 + $100 = $125Membership + Cooler CupPlatinum$25 + $250 = $275Membership + Phone SpeakersCougar$25 + $500 or more = $525 or moreMembership + Clark BlanketAppreciation gifts may be picked up during Clark Athletic Booster Club meetings. Gifts are subject to change based upon availability.Corporate Sponsorship:If you are interested in opportunities to sponsor or advertise your business through our Booster Club events and promotions (White Out, Black Out, Programs, etc.) please complete the following information so that we may contact pany Name:Contact Person:Phone #Email:Return Application and Payment To:CLARK ATHLETIC BOOSTER CLUBc/o LaDonna Melson5014 Ashton AudreySan Antonio, TX 78249To contact membership by email:ldmelson@** Membership dues are subject to waiver based upon eligibility for the reduced lunch program. Initial here for authorization of program eligibility by Clark staff. ______________ ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download