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MSA Booster Club Membership Form
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Email *
Booster Club: "Proud to Serve Young Minds"
Mission Statement
The purpose of this organization shall be to Enhance, Support, Encourage, and aid all activities of the DHS Math and Science Academy.

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Student Last Name *
Student First Name *
Student Grade Level in School *
Parent 1 Name *
Parent 1 Cell Phone # *
Parent 1 Email *
Parent 2 Name
Parent 2 Cell Phone #
Parent 2 Email
If you as parent(s) want to be added to the WhatsApp and WeChat Booster Club Group to receive club updates and activities, please indicate below * *
Please indicate your contribution amount below ($25 Minimum).  Mail check payable to: DHS MSA Booster Club P.O. Box 16883 Sugar Land, TX 77496 OR Payments can be made Via Chase Quickpay/Zelle using or Venmo Handle @Dhsmsabc or Cashapp Handle DhsmsaBoosterClub Please share a screen shot of your payment proof to for quick turn around. *
Mode of Payment (Indicate Student Name in the along with the payment) *
Payment Made by (Name)
A copy of your responses will be emailed to the address you provided.
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