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 Donation
Elite: 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!