WAUKESHA NORTH BOOSTER CLUB

2017-2018 Membership Application

Please PRINT all information clearly Name (First, Last) Address Phone Email

Student Name

Grade (circle one) 9 / 10 / 11 / 12 9 / 10 / 11 / 12

Sports / Activities involved in

****ALL packages include a $5 concession bonus card**** *CIRCLE* your membership package below. Entrance is for non playoff home games

YEAR

FAMILY (2 adults / 2 juniors)……………………………………………..……. $75 PARENTS (2 adults)……………………………………………………….………. $65 SINGLE (1 adults)……………………………………………………………..……. $40

FALL

Includes Football, Volleyball, Boys soccer, Girls swim/dive

FAMILY (2 adults / 2 juniors)…………………………………………………... $50 PARENTS (2 adults)…………………………………………………………….…. $40 SINGLE (1 adults)……………………………………………………………..……. $25

WINTER/SPRING Includes Basketball, Gymnastics, Wrestling, Boys swim/dive, Track, Girls Soccer FAMILY (2 adults / 2 juniors)………………………………………………..…. $50 PARENTS (2 adults)…………………………………………………………….…. $40 SINGLE (1 adults)……………………………………………………………..……. $25

JUNIOR MEMBERSHIP (6 years old – 8th grade)……………………………..………………. $20 OPTIONAL ONE TIME DONATION TO Booster Club ____$25 ____$50 ____$100 _______other CONCESSION PUNCH CARDS _____________ $20.00 _____________ $5.00 **Yes, I am interested in helping with ______Fundraising _____Programming ______Meetings ______Other Cash or Checks made payable to – Waukesha North Booster Club or WNBC PLEASE MAIL OR DELIVER TO: WAUKESHA NORTH BOOSTER CLUB 2222 MICHIGAN AVE. WAUKESHA, WI 53188

Paid with Credit Card - Visa or MC: _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Amount: __________ Exp. Date: ___ / ____ CVS #: _______ Zip Code: _____ Name on Card: _______________________ Paid with Check - Check #: __________ Amount: __________ Pd Cash__________ Initials: ______