Homestead High School

Booster Club

Mequon, WI

Registration Information

*First Name:

*Last Name:

Maiden Name:

Spouse/Partner's Name: How would you like your name or names listed in our thank you ads? (Example: Jim and Jodie Smith, Jim Smith, Dr. Jim Smith, etc.) *Address:

*City:

State:

*Country:

*Zip:

*Email:

Phone Number:

If more than just one family member is interested in receiving our Booster Blast, please list the emails below.

Membership Options

Lifetime Family Membership: $1500

ANNUAL MEMBERSHIPS (July 1 - June 30) Foundation Membership: $250 Highlander Membership: $150 Angus Membership: $100 Extended Family Punch Cards: $50 Alumni: $20

Student Information

Student Name	Boy/Girl	Sports Activities	Grade

Credit Card

Card Number:

Expiration Date:

CVV: ()

Membership Application (July 1-June 30)