First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Connection to School (Click all that apply) REQUIRED Parent Grandparent Alumni Other Please fill out this field.

Student's Names & Grade Levels Please enter valid data.

Membership Level REQUIRED

50.0 – Alumni

150.0 – The Ram Fan Pack

400.0 – Gold

750.0 – Blue

1500.0 – Blue & Gold Please fill out this field.

Child Add Ons ($50 per Child)

50.0 – 1 child add on

100.0 – 2 child add ons

150.0 – 3 child add ons

200.0 – 4 child add ons

250.0 – 5 child add ons

300.0 – 6 child add ons

350.0 – 7 child add ons

400.0 – 8 child add ons

St. Mary’s Athletic Booster Club

Athletic Booster Club Membership Form