MEMBERSHIP FORM 2008-2009

Your dues and all income earned by the Boosters is used to support our student athletes and to fund the following: Seasonal sports awards events, special team needs (equipment, etc.) scholarships for graduating scholar-athletes, travel expenses for athletes to attend competitions outside the county and other projects to benefit the athletic program at Annapolis High.

Name(s)

Street Address

City

Zip code

Phone (h)

(w)

E-mail:

* Your e-mail will be confidential and only used for the purposes of keeping you informed of current and upcoming sporting events and activities.

Athlete(s) name(s), grade(s) and sport(s) participation:

Membership Levels

Dues

Gift (please check next to level of choice)

Regular ___

$20.00

Patron ___

$30.00

Bronze ___

$60.00

Silver ___

$105.00

Gold ___

$255.00

Platinum ___

$505.00