Notre Dame Academy Boosters

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Form D

FOR OFFICE USE ONLY DATE: _____________ CHECK # ___________ AMOUNT: _________ INITIALS: ___________

Notre Dame Academy Boosters 2017-2018 (Please print all information.)

Member’s Name ___________________________________ (First)

(Last)

Daughter’s Name __________________________________ (First)

(Last)

Sports: ____________________________________________ Grade in 2017-2018 (Circle)

9

10

11

12

Address___________________________________________ __________________________________________ (City)

(State)

(Zip)

Cell Phone Number _________________________________________ EMAIL _____________________________________________

____ Super Booster ($225.00) ____ Eagle Booster - required for participation in two or more sports ($175.00) per student

____ Blue & Gold Booster - required for participation in one sport ($125.00) per student

 BLUE & GOLD BOOSTER will include two adult tickets to one HOME Notre Dame Basketball, Soccer or Volleyball game.  EAGLE BOOSTER will receive FOUR adult tickets to a HOME Basketball, Soccer or Volleyball game.  SUPER BOOSTER will receive a special Boosters card allowing admission for two adults to all HOME Basketball, Soccer and Volleyball games.

$325.00 maximum per family per school year Please return this form and your check payable to: NOTRE DAME ACADEMY BOOSTERS RETURN PAYMENT WITH FORM DIRECTLY TO THE FINANCE OFFICE

PAYMENT DUE BY FIRST CONTEST OF THE SEASON 2017-2018 Booster Club