John Adams High School
Adult Athletic
Booster Club

South Bend, Indiana
Membership Form
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
07/08 dues    $5 X ____ = _______   paid on ___________