Jefferson Football Banquet RSVP
Join us as we celebrate the 2018 Jefferson Football season at our banquet.

Sunday, November 18
4:30 - 5:00 Check In
5:00 - 8:00 Dinner & Program

Embassy Suites
2800 American Blvd W
Bloomington, MN 55431

Player cost is FREE for all who paid the Booster Club fee.
Coaches and special guests cost is FREE.

Cost for players without paid Booster Club fee and all player family members:
$25 per person when paid by November 5
$30 per person when paid by November 12
$35 per person when paid after November 12 or at the door

Please RSVP by filling out this form, and read instructions at the bottom for how to provide payment.

Player / Coach / Special Guest Name *
Your answer
Total Number Attending (including player, coach, special guest) *
Your answer
Names of Player's Family / Coach's Guests Attending
Your answer
Player's Grade (if registering as a player / player's family)
Payment can be made online through November 12 via the PayPal link found on the Jefferson Football website.

Or, you may pay by check made out and mailed to:
Jefferson Quarterback Club
c/o Keren Jorschumb - Treasurer
7658 W 100th Street
Bloomington, MN . 55438

* NOTE: All payments mailed by check need to be postmarked by the corresponding pay dates listed in the top section of this form in order to determine amount owed. All checks must be received by November 17.

*NOTE: All payments received at the door on the day of the banquet must be CASH OR CHECK ONLY.

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