John Adams High School Adult Athletic Booster Club
South Bend, Indiana
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Name ___________________________________________________
Spouse (Only if both joining)_________________________________________
Address ___________________________________________
___________________________________________
Phone _________________________ evening _________________________ day
_________________________ cell _________________________ fax
email ______________________________________________________________(print carefully)
INDIVIDUAL INFORMATION
relationship to Adams _____parent _____instructor/staff _____community member
student ____________________________ sport(s) _________________________________
student ____________________________ sport(s) _________________________________
student ____________________________ sport(s) _________________________________
other relationship ____________________________________________________
_____Athletic Banquets (Fall,Winter,Spring)
_____Publications
_____Board Member
_____Volunteer
_____other
___________________
___________________
AREAS OF INTEREST
_____Market Day
_____Spirit Wear
_____Concessions
_____Fund Raising
indicate
best
to call
(list students)
Send form to:
John Adams Athletic Booster Club
Membership Chair
808 N. Twyckenham
South Bend, IN 46615
T-shirt size (quan) __ S __ M __ L __ XL __ XXL
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07/08 dues $5 X ____ = _______ paid on ___________
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