Application

To subscribe to the BOOSTERS List, fill in this questionnaire and submit it. Only fields marked with (*) are required. The rest of the information is optional.
   Your Name(s)*: 
   Your trade or occupation:     
   Your primary e-mail address*: 
   Your emergency e-mail address:
   Your personal web pages URL:  
   Your Birthday MONTH:    DAY: 

   Your postal address (City and State at a minimum, please!)
      Street:  
      City:    
      State:        Postal Code:  
      Country: 

   Your Daytime Phone:   
   Your Evening Phone:      Your Fax:   

   Your musical children (optional):
     Name:    Birthdate:    Instrument(s): 
     Name:    Birthdate:    Instrument(s): 
     Name:    Birthdate:    Instrument(s): 
     Name:    Birthdate:    Instrument(s): 
     Name:    Birthdate:    Instrument(s): 

   Name of your student's School*:              
   Nickname of your Band, Choir or Orch:        
   URL of your Band, Choir or Orch web pages:   
   Number of students in your Band, Choir or Orch:      
   Number of your children in your Band, Choir or Orch: 

   Name of your booster club:  
   URL of your booster club:   
   Annual Membership Dues Paid by Parent:     
   Annual Music Fee (if any) Paid by Student: 
   Total Annual Fund Raising $ by Parents:    
   Total Annual Fund Raising $ by Students:   
   Two Best Parent Fund Raisers:       
   Two Best Student Fund Raisers:      
   Number of Booster Club members:  
   Number of Active Boosters:       
   
   What special non-fundraising things does your Booster Organization
      do for students?
   
   
   What trips has your organization sponsored?
   

   May we distribute this information to our other list members?* Yes No

              
      Press the Send button just once.

This information will only be used by our group. We are a private list and do not allow commercial posting.
Detailed information will not be made available to anyone who is not in our group without your permission.
All information is collected for non-commercial purposes.

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Last changed: 10/08/2002
[webmaster]

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