PHS Athletic Booster Club

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Please complete the information, review it and then click on the "Submit" button at the bottom of the page.

First Name:   (enter first names of both if joint membership)
Last Name:  (or corporate/business name if for corporate membership)

Street Address:

City:      State:     Zip:

Phone #:     (401-123-4567)     email:


I would like my membership associated with the following student(s):
Son/Daughter/Relative/Friend : Class of:
Son/Daughter/Relative/Friend : Class of:
Son/Daughter/Relative/Friend : Class of:
Son/Daughter/Relative/Friend : Class of:

My Donation:  
If donation above is "Other" please indicate amount:

My check number is: (00123)
Check will be mailed:

Mail Check to:
PHS Athletic Booster Club
P.O. Box 438
Portsmouth, RI  02871

Booster Shack Volunteer ?:

Commitee Member Volunteer ?:

Thanks very much for your support !

Please review all of the above info before clicking "SUBMIT FORM" button below.
Clicking on the "SUBMIT FORM" button will immediately send info to PHS Boosters