THOMAS JEFFERSON HIGH SCHOOL FOR SCIENCE AND TECHNOLOGY
COLONIAL ATHLETIC BOOSTERS
2009 - 2010 MEMBERSHIP FORM
PARENT/GUARDIAN INFORMATION
| Name(s): __________________________________________________________________ | |
| Address: __________________________________________________________________ | |
| City, State, Zip: _____________________________________________________________ | |
| E-mail: ________________________________________________ | Phone: ___________ |
STUDENT INFORMATION
| Name(s): | Sports(s): | Class of: |
| ____________________________ | ___________________________________ | _______________ |
| ____________________________ | ___________________________________ | _______________ |
| ____________________________ | ___________________________________ | _______________ |
MEMBERSHIP CATEGORIES
| ____ | CORPORATE | $ 500 | SIX Passes to ALL regular season HOME games and reserved parking for home football games |
| ____ | DIAMOND | $ 250 | FOUR Passes to ALL regular season HOME games and reserved parking for home football games |
| ____ | GOLD | $ 150 | TWO Passes to
ALL Regular Season HOME games |
| ____ | SILVER | $ 100 | ONE Pass to
ALL Regular Season HOME games |
| ____ | BASIC | $50______ |
|
| ____ | ALUMNI | $25 x _____ | LIFETIME passes, charge per person, Alumni and/or parent(s) Not available to PARENTS with a child still at TJ. |
Remember, our passes are good for Regular Season HOME
Games – Join now and enjoy free admission all year!
Please make your check payable to
Colonial Athletic Boosters
and return with this form to:
TJHSST Colonial Athletic Boosters, 6560 Braddock Road,
Alexandria, VA 22312