Band
Booster Membership FORM
NAME OF PARENT: ______________________________________
CASH/CHECK NO.: _____________
ADDRESS:
____________________________ CITY,
STATE, ZIP _________________
PHONE: _____________________ (home) ________________________ (work)
EMAIL ADDRESS: ________________________________________
please print clearly
Fill out next section
for each student in BISD band program:
Student’s Full
Name:
_______________________________
Grade: ____________
Student’s School
(Circle one): CCIS CCMS BIS BMS BHS
Student’s Full
Name:
_______________________________
Grade: ____________
Student’s School
(Circle one): CCIS CCMS BIS BMS BHS
Student’s Full
Name:
_______________________________
Grade: ____________
Student’s School
(Circle one): CCIS CCMS BIS BMS BHS
Mail
form and $7.00 annual membership fee per family to: Bastrop Band Boosters
Make checks payable to
“Bastrop Band Boosters”.