2015 – 2016Hempstead High School Booster Club Membership Application
Each level includes your choice of a Mustang yard sign or a Mustang decal.
Membership Levels / Tax Deductible DonationElite: Name on permanent recognition plaque,** Two All Season sport passes,**
recognition in sports program / $500
Platinum: Two All Season Sports passes,**recognition in sports program / $250
Gold: OneAll Season Sports pass,** recognition in sports program / $150
Green*: Choice of two athletic fall/winter booklets containing four tickets each or one soccer, baseball, and softball season pass,** recognition in sports program / $75
White: Recognition in sports program / $50
Family: (this level may be paid for on RevTrak during registration) / $25
Note: For seniors to be eligible to apply for scholarships, student’s parents must be paid members, at any level, as of October 1, 2015. All requests for activity funding also require membership by the requester by October 1, 2015.
* Please circle one: 2 Fall/Winter Booklets (contains 4 tickets each) 1 Soccer Season Pass 1 Baseball Season Pass 1 Softball Season Pass
**Indicate Name(s) on Pass(es): ______
Member(s)’s name(s): ______
Address: ______
City: ______State: ______Zip: ______
Phone(s) Home: ______Cell: ______Work:______
Email(s): ______
Student(s) name(s) and grade(s): ______
Please circle any areas you would be willing to volunteer your time:
Concessions Merchandise Membership Golf Outing 5K Race
Business Membership: Includes name on banner to be displayed in Moody Gymnasium and in sports program.______
Please print name as it should appear / $100
Please make checks payable to Hempstead Booster Club Membership. Deliver to the ActivitiesOffice, give to the Booster Club table at summer registration or mail to:
Hempstead High School Activities Office
ATTN: Booster Club
3715 Pennsylvania Avenue
Dubuque, IA 52002
Thank you for helping us support and promote academics, activities, arts, and athletics!