San Angelo Central Bobcats Booster Club
2017-18 Membership Form
Name(s)_______________________________________________________________________
Address__________________________________________________ZIP___________________
Email Address #1________________________________________________________________
Email Address #2________________________________________________________________
Home #____________________Cell #1_____________________Cell #2____________________
Athlete’s Name____________________________Sport(s)_______________________________
Athlete #2 Name___________________________Sport(s)_______________________________
Membership Level (circle one)
Program Recognition
Bobcat Window Decal
Member
Bronze
Silver
Gold
Platinum
Champion
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Short Sleeve Bobcat T-Shirt
(2) Short Sleeve Bobcat T-shirts
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Insulated Bobcat Travel Mug
Bobcat Cap
District All-Sports Pass ( for 1) to all games
(admission only, does not include reserved seat for
football games)
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Reserved Parking Spot for Home Games
DUES (per family)
$25
$50
$75
$100
$250
$500
**NOTE: IF YOU WANT YOUR SPIRIT ITEMS, YOU MUST SIGN UP AND TURN IN THIS FORM BY
SEPTEMBER 30, 2017
**NOTE: If you would like your child to be listed in the All-Sports Program as a "Student Bobcat
Backer", please add $5.00 to the Membership Dues listed above. (Not necessary for Gold and above.)
**If Silver level or above, what size shirt(s) do you need? YS YM YL AS AM AL AXL AXXL AXXXL
Return Form with Payment to:
Central Bobcats Booster Club
c/o Tiffany Burnes
2114 Club Lake Court
San Angelo, TX 76904
Questions or for more info: Please contact Tiffany Burnes @ [email protected]
For Office Use Only:
Amount paid:
Date Paid:
Check #:
Student Backer $5 included?