Test – Brandeis Broncos Athletic Booster Club

Complete the form below to join the Brandeis Broncos Booster Club, a 501(c)3 charitable organization dedicated to supporting all athletic programs at Brandeis High School. Thank you!

2023-2024 Membership Levels & Gifts

$125 Orange Membership
(appreciation gift: B car decal, and you may choose one item: Orange umbrella with B logo, RTIC cup with B logo, Stadium blanket or 3-stripe t-shirt)

$60 Blue Membership
(appreciation gift: B car decal and drawstring bag)

$35 Bronco Membership
(appreciation gift: B car decal)

Parent's Name(Required)

First Last

Spouse/Guardian

First Last

Parent's Email(Required)

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Student Information

Student's Name(Required)

Student's Grade(Required)

Student's Sport(Required)

Student #2's Name

Student #2's Grade

Student #2's Sport

Volunteer

Are you interested in volunteer opportunities?

Yes

Membership

2023-2024 Membership(Required)

Additional Donation

Donation amount

Payment Details

Total

Payment Method(Required)

American Express

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name