Northampton Area School District
2019-20 Annual Booster Club Information & Registration
Email address *
School Year *
Sport/Activity *
Your answer
Official Name of Booster Club *
Your answer
Booster Club Officers: President Name *
Your answer
Booster Club Officers: President Phone Number *
Your answer
Booster Club Officers: President Email Address *
Your answer
Booster Club Officers: President Work Number *
Your answer
Booster Club Officers: President Fax Number
Your answer
Booster Club Officers: President Home Address (Street, City, State, Zip) *
Your answer
Booster Club Officers: Vice President Name *
Your answer
Booster Club Officers: Vice President Phone Number *
Your answer
Booster Club Officers: Vice President Email Address *
Your answer
Booster Club Officers: Secretary Name *
Your answer
Booster Club Officers: Secretary Phone Number *
Your answer
Booster Club Officers: Secretary Email Address *
Your answer
Booster Club Officers: Treasurer Name *
Your answer
Booster Club Officers: Treasurer Phone Number *
Your answer
Booster Club Officers: Treasurer Email Address *
Your answer
Booster Club Officials: Other Contact Name
Your answer
Booster Club Officials: Other Contact Title
Your answer
Booster Club Officials: Other Contact Phone Number
Your answer
Booster Club Officials: Other Contact Email Address
Your answer
Election Process *
Please describe how the above individuals were elected/chosen officers for this booster organization.
Your answer
Booster Club Designee: Name *
Please list one (1) contact person for communication with the athletic director or designee.
Your answer
Booster Club Designee: Email Address *
Your answer
Booster Club Designee: Phone Number (H) *
Your answer
Booster Club Designee: Phone Number (C) *
Your answer
Booster Club Designee: Phone Number (W) *
Your answer
Financial Information: Name of Financial Institution *
Your answer
Financial Information: Designee to Sign Checks *
Your answer
Financial Information: Designee to Sign Checks
Please include additional name if available.
Your answer
Financial Information: Bank Statements *
Please list the names of two (2) people receiving the booster club bank statements (1 of 2)
Your answer
Financial Information: Bank Statements *
Please list the names of two (2) people receiving the booster club bank statements (2 of 2)
Your answer
Financial Information: Treasurer's Report *
An end of season treasurer's report (2018-19 School Year) must be submitted to the principal or designee within twelve (12) weeks of the end of the season. You may find that report here at: https://www.nasdschools.org/site/handlers/filedownload.ashx?moduleinstanceid=289&dataid=745&FileName=18-19%20CR.pdf
Required
Financial Information: Maximum Carryover *
The organization's recommended maximum limit of carryover money for the year is:
Your answer
Financial Information: 2019-20 Projected Budget Required *
A projected, detailed budget will be presented to the principal or his/her designee with this registration form. This budget must include the anticipated booster dues/fees and the breakdown of how those monies will be used. Please email an attached copy of your projected budget to Shaun Murray at murrays@nasdschools.org
Required
Special Notes: Spectator Code of Conduct *
Spectator Code of Conduct - See Policy 904. Please make copies of this school board policy and hand out NASD Policy 904 to every booster member prior to the start of the season. This policy can be found under the Booster Club Information Tab at https://www.nasdschools.org/domain/63
Required
Special Notes: Booster Club Bylaws *
Please email an attached copy of your current booster club bylaws to Shaun Murray at murrays@nasdschools.org
Required
Special Notes: Banquet Guidelines *
Please provide banquet guidelines, which must include a non-alcohol policy. Please include your banquet guidelines with your booster club bylaws and email an attached copy to Shaun Murray at murrays@nasdchools.org
Required
Special Notes: Booster Club Website *
Please provide the link to your website.
Your answer
Special Notes: Booster Club Website Webmaster *
Please provide the name your booster club website webmaster.
Your answer
Special Notes: Booster Club Social Media Platforms *
Please check current social media platforms used to promote your booster club/sport/activity.
Required
Special Notes: Booster Club Social Media Platforms
If using social media platforms to promote your booster club/sport/activity, please indicate the account name/handle and the platform. All school affiliated social media accounts must be registered with Northampton Area School District.
Your answer
Special Notes: Booster Club Concession Stand Guidelines *
Food handlers' license must be on file with the principal or designee. For information regarding food safety certifications, permits, and licensing in Northampton County, please contact: Northampton County Food Safety Division, 669 Washington Street, Easton, PA, 18042, 610-559-3000, http://www.northamptoncounty.org
Required
Special Notes: Food Handlers Licensing *
To obtain information regarding Servesafe food handler licensing, please visit https://www.servsafe.com. One official from each booster club must be Servesafe certified and have the ability to provide proper certifications. Please email an attached copy of your official's Servesafe certificate to Shaun Murray at murrays@nasdchools.org
Required
Final Reminders: *
After completing this online application, please remember to submit the following documents to Shaun Murray at murrays@nasdschools.org: (1) 2019-20 Projected Budget, (2) Club Bylaws (if changed from previous year), (3) Banquet Guidelines (if changed from previous year), (4) ServeSafe Certification (if expired), (5) 18-19 Annual Booster Club Contribution Report (attached to 19-20 introduction email and on the Booster Club Webpage). In addition, please remember that all club officers must submit all clearances and a TB test prior to serving as a club official. Information regarding Booster Club Officer Clearance Requirements can be found under the Booster Club Information Tab found here https://www.nasdschools.org/domain/63 or by contacting Sue Fox in the NASD Personnel Office.
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Northampton Area SD. Report Abuse