Join BBABC Brandeis Broncos Athletic Booster Club Online registration Step 1 of 3 33% *All Sports *Membership Form* 2019- 2020Bronco Parent Name* Last First Bronco Parent Name #2 Last First Bronco Parent Phone #1*Bronco Parent Phone #2Bronco Parent Email* Bronco Parent Address Street Address City ZIP / Postal Code Bronco Student InfoStudent Name* Last First GenderMaleFemaleStudent Grade*Student Sport(s)*Registering multiple children?*YesNoStudent Name Last First GenderMaleFemaleStudent GradeStudent Sport(s)Student Name Last First GenderMaleFemaleStudent GradeStudent Sport(s)Student Name Last First GenderMaleFemaleStudent GradeStudent Sport(s) Family Membership LevelFamily Membership Levels*Legacy Alumni - $21Bronco - $26Blue - $52Orange - $104*fees are adjusted to cover PayPal online payment fees$21 **Legacy memberships are for former students & for parents of former students who do not presently have a student at Brandeis. Family name included in program at Varsity Awards Night $26 Family name included in Program at Varsity Awards Night $52 Family Name included in Program at Varsity Awards Night, AND your choice of one BLUE Membership Gift $104 Family Name included in Program at Varsity Awards Night, AND your choice of one ORANGE Membership Gift Select the Complimentary Gift you would like to receive*Letter “B” Car DecalDrawstring BackpackSelect the Complimentary Gift you would like to receive*Letter “B”CupStadium Chair BagBlanketPriceIf you are interested in providing additional support, enter the amount you would like to additionally donate to the BBABC to help fund scholarships & athletic needs. Total $0.00 After Completing the next page of this form, hit the submit button. You will then be re-directed to paypal to complete online payment. Online payment must be completed within paypal, if payment is not completed then submission/purchase is not valid. For opportunities to sponsor or advertise your business through the Booster Club events and promotions (Orange Crush game, Pink Crush game, BBABC Website, programs, etc.) AND/OR your company participates in a matching gift program, please complete the information below so that we may contact you. **BBABC is a 501-C3 organization**Company NameContact NameCompany PhoneCompany Email Does your company have a Matching Gift Program? Yes No Unknown Volunteering?If you are interested in volunteering with BBABC, we have a place for YOU! Check the boxes below indicating your interests! Concessions Spirit Wear Sales Fundraising Membership Total $0.00 As stated on the previous page, once you hit the submit button you will be re-directed to paypal to complete online payment.