Booster Registration Form

* Indicates required field

Membership Level *

Individual Membership ($25) Family Membership ($40)

Name *

First

Last

Additional Family Members *

Email *

Cell Phone Number *

As a booster member I am interested in all of the following: *

Chaperoning Band Events Rebel Band Move Crew Assisting with additional Rebel Band functions Serving as a Booster Board Member None of the above

Any additional comments you would like us to know *

BOOSTER REGISTRATION