Phillipsburg High School Soccer Boosters |
| Please complete and mail to: |
PHS Soccer Boosters c/o |
| Janice Sturchio |
| 526 Dori Place |
| Stewartsville, NJ 08886 |
| Athlete's Name _____________________________________ Grade ___________ M or F |
| Parent or Guardian Name(s) _________________________________ |
| Address: __________________________________________ |
| __________________________________________ |
| Phone number where you may be reached evenings _____________ |
| Parent's Email address __________________________ |
| Check if you want your email and phone number published in a list for the soccer parents _____ |
| Check all that apply: |
| _____I am willing to donate time or service if asked. |
| _____I have enclosed a $10 donation to support the club. |
| _____I would like to help with a specific activity or responsibility: |
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| ___ Senior Gift |