CAVALIER BOYS SOCCER BOOSTER CLUB    

                   MEMBERSHIP FORM

Player Name: _______________________________

Grade: ________

Email: ______________________________________

Phone:___________________________

Parents:

Father:____________________________________________________

Email: _____________________________________________________

Phone: home:_____________________cell:__________________work:_____________

Mother:_____________________________________________________

Email:______________________________________________________

Phone: home:____________________cell:__________________work:______________

Membership Dues: $75

$100 (includes optional program ad)  $_________________

Yard Sign: $15 (optional)                 $_________________

                             Total:          $_________________

Make checks payable to Cavalier Boys Soccer Booster Club

Thank you for your support of CP Boys Soccer!