Viking Backer Membership Form 2020-2021
You're invited to our monthly meetings; 1st Monday, 6:30-7:30 pm in Media Center
with any questions
Parent First Name
Parent Last Name
Student 1 Name and Grade (include last, if different than parent)
Student 2 Name and Grade (include last, if different than parent)
Student 3 Name and Grade (include last, if different than parent)
Student 4 Name and Grade (include last, if different than parent)
Black and Gold Membership $120 (includes magnet, mask, $12 concession card, and blanket)
Viking Membership $75 (includes magnet, mask, and $12 concession card)
Hebron Membership $40 (includes magnet)
We apologize for the two step process but you must pay and then come back to form to submit. Registration will not be complete until submission of payment through the Viking Backers store; visit
to submit payment. Thank you!
I understand and will pay via credit card at
A copy of your responses will be emailed to the address you provided.
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