Texas Tornado Booster Club

2320 N. Chandler Dr. West

Fort Worth TX  76111-2909

MEMBERSHIP NEW-RENEWAL FORM 2002 - 2003

About You:

Name:___________________________________________________________________

Address:_________________________________________________________________

CITY,STATE,ZIP:__________________________________________________________

Phone:_______________________________________

E-MAIL:_______________________________________________

Membership period is from August 2nd to August 1

Dues are not prorated and are non-refundable

SEASON TICKET HOLDER? yes_____ no_____

HOUSEHOLD MEMBERSHIP - $25.00___________

SINGLE MEMBERSHIP - $15.00___________

JUNIOR MEMBERSHIP (16 to 18 YR. / COLLEGE STUDENT) - $10.00____________

(JUNIORS 16 TO 18 MUST HAVE A PARENTS SIGNATURE)

For all household memberships: list name of all household members and date of birth, if under eighteen (18) years of age. Household members MUST reside at the same address as primary applicant…. Proof of address must be provided upon request!

Spouse and Children:

NAME and DOB:___________________________________________________________________________________

NAME and DOB:_______________________________________________________________________

NAME and DOB:_______________________________________________________________________

NAME and DOB:_______________________________________________________________________

NAME and DOB:_______________________________________________________________________

*I release the Texas Tornado Booster Club from any liability for injury or loss incurred at all Booster Club functions and/or meetings. This includes minors covered under a Junior and/or household membership. I agree to abide by the rules and stipulations outlined in the by-laws and Code of ethics which govern the Texas Tornado Booster Club. *

SIGNATURE:________________________________________________________

(REQUIRED)(Parent or guardian must sign for junior member)

DATE:______________________________

I/WE ARE INTERESTED IN VOLUNTEERING TO HELP ON THE FOLLOWING COMMITTEE (S):

FUNDRAISING:_______

BOOSTER CLUB SPONSORED EVENTS:_______

PUBLICATION or NEWSLETTER:________

HOSPITALITY:_________

HISTORIAN:________

ROAD TRIPS:________

MEMBER RECRUITMENT:________

****** Make Checks Payable To: "Texas Tornado Booster Club"*****

Please print out and mail to address above