Bucs Club Membership Drive 2023-2024

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Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Phone *

Business Name

I AM A

Select from the following: *

DCC Alumni Faculty/Staff DCC Friend Parent Former Athlete

If you selected "Parent", what is the student's name

If you selected "Former Athlete", which sport(s) did you play?

MEMBERSHIP LEVEL

Select one *

$3,000- Floor Sponsorship in Gym $2,000- Big Advertising Banner and Digital Scorer's Table in Gym $1,000- Big Advertising Banner $500- Small Advertising Sign $500- Jolly Roger's Club $300- Navigator's Club $100- Master Gunner's Club Other

If other, please enter the amount

CONTRIBUTION TO

Select from the following *

General Athletic Fund Other

If other, please specify

Shirt/Jacket size *

Small Medium Large X-Large XX-Large

* required field