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MEMBERSHIP REGISTRATION FORM:
After completion of this form, please select "SUBMIT" and you will be directed to the online/mail in payment page.
MEMBER INFORMATION
*
Indicates required field
Name
*
First
Last
Last
Spouse's Name
*
First
Last
Home Phone
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Cell Phone
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ALUMNI
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YES
NO
Address
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Zip Code
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Contact Email
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Alternate Email
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Membership Type (Note-Ads must be placed prior to 7/30 to be in All Sports Program!)
*
Churchill $1000 Website Recognition, WC CSA Member Decal, Sports Program Recognition, Full Page Ad OR two stadium seats.
Winston $500 Website Recognition, WC CSA Member Decal, Sports Program Recognition, 1/2 Page Ad OR one stadium seat
Corporate $350 Website Recognition, WC CSA Member Decal, Sports Program Recognition, 1/4 Page Ad OR a WC shirt
Elite $200 Website Recognition WC CSA Member Decal, Sports Program Recognition, 1/8 Page Ad OR a WC hat
Charger $100 Website Recognition, WC CSA Member Decal, Sports Program Recognition
Black $50 Website Recognition, WC CSA Member Decal
Red $25 Website Recognition
Payment Method
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STUDENT 1 INFORMATION
Special Note-
ALUMNI WITHOUT A CURRENT CHURCHILL ATHLETE DO NOT HAVE TO FILL OUT THE STUDENT INFORMATION
Than
k you!
Name
*
First
Last
M/F
*
Female
Male
Grade Level
*
9th
10th
11th
12th
Sport(s)
*
Baseball
Basketball
Cross Country
Football
Golf
Soccer
Softball
Special Olympics
Swim & Dive
Tennis
Track & Field
Volleyball
Water Polo
Wrestling
STUDENT 2 INFORMATION
Name
*
First
Last
M/F
*
Female
Male
Grade Level
*
9th
10th
11th
12th
Sport(s)
*
Baseball
Basketball
Cross Country
Football
Golf
Soccer
Softball
Special Olympics
Swim & Dive
Tennis
Track
Volleyball
Water Polo
Wrestling
STUDENT 3 INFORMATION
Name
*
First
Last
M/F
*
Female
Male
Grade Level
*
9th
10th
11th
12th
Sport(s)
*
Baseball
Basketball
Cross Country
Football
Golf
Soccer
Softball
Special Olympics
Swim & Dive
Tennis
Track & Field
Volleyball
Water Polo
Wrestling
Additional Comments
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Submit
Home
About
>
CSA Officers & Executive Board
CSA Sports Reps
CSA Calendar
Hall of Honor
Contact Us
Sports
>
WC Camps
WC Athletic Trainer Information
Boys Basketball
>
Boys Basketball - Donate
Girls Basketball
Baseball
>
WC Hit A Thon FOOD
Cross Country
Football
Golf
Boys Soccer
Girls Soccer
Softball
Special Olympics
Swim & Dive
>
Swim & Dive Resources
Tennis
Track & Field
>
Meet Highlights
>
Past Season Highlights
Volleyball
>
JV Volleyball
Freshman Volleyball
Wrestling
>
Wrestling - Charger Classic
Wrestling - Community Service
Membership
All Sports Program
Senior Baby Photos
Merchandise
Events
Charger Golf Classic
CHARGER GOLF CLASSIC SPONSORS
Meet the Chargers
Program Sponsors
CHARGER GOLF CLASSIC
Hall of Honor