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Membership Form

 

 

 

Lady Red Devils Basketball Booster Club

 

Membership Form

 

2016 – 2017 Season

 

 

 

Player Name:                                                                                                                                                       

 

 

 

Player Address:                                                                                                                                                   

 

 

 

                                                                                                                                                                             

 

 

 

Player Cell Phone:                                                                              Grade:                                                      


 

Contact Information:

 

 

 

 

             MOTHER (GUARDIAN)

               FATHER (GUARDIAN)

Name

 

 

 

 

Home Phone

 

 

 

 

Cell Phone

 

 

 

 

Email

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

Annual Membership Dues:  $30.00 per family

 

 

 

 

 

 
 

 

 

 


Make checks payable to:                                                                   Mail to:

 

                                                                                                            Connie Sholehvar

 

HC Lady Red Devils Basketball Booster Club                              9 Kren Drive

 

                                                                                                                      Ringoes, NJ 08551

 

 

 

 
 

 

 

 

 

 

 

 


PLEASE SUBMIT BY DECEMBER 23, 2016