2021-2022 Century Booster Club Membership Application
Thank you for your interest in supporting the Century Booster Club!
The Century Booster Club supports all Century student activities, academics, sports, arts, music, and more!

What does it mean to be a Booster Club Member?
*You are invited to attend monthly Booster meetings, but it is not obligatory.
*You have an opportunity to volunteer for Concessions and/or the School Store.
*You have an opportunity to help support Century's activities and Century's great kids!
*Your Senior will qualify to submit an application for the Century Booster Club Scholarship.

The Century Booster Club awards six $500 scholarships each year to Century Seniors whose parent(s)/guardian(s) are current members of Century's Booster Club.  
Scholarship recipients are selected based on their application and essay submitted.

NOTE: Booster Club membership applications & dues must be received by March 15th to be eligible for a scholarship that spring.

Membership Dues are only $20 for 1 year or $60 for 4 years.  
(4 year members only need to submit an application one time and they get a year free!)

PAYMENT: The online payment link is through our Booster Club Square account.  The payment link is provided at the end of this form, once you click the submit button.

Applications & dues submitted by Oct. 1st will be entered into a drawing for a free Century sweatshirt!

Any questions, please email us at: centuryboosterclub@gmail.com

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LAST Name *
FIRST Name *
Street Address *
City *
State *
ZIP Code *
Email Address *
HOME Phone
CELL Phone *
CENTURY STUDENTS IN YOUR HOUSEHOLD: Please fill out one line for EACH Century student in your household.
Student Name/Graduation Year/Activities
Student Name/Graduation Year/Activities
Student Name/Graduation Year/Activities
Student Name/Graduation Year/Activities
Concessions: Would you like to help out with concessions?
If you select "Yes", we will email you the signup links when they become available.
School Store: Would you like to help out in the school store?
If you select "Yes", we will email you monthly to ask for your availability.
Board Member: Are you interested in becoming a Booster Board member?
If you select "Yes", a current Board Member will contact you to discuss open positions and how you can serve.
I am unable to volunteer my time, but I would like to support Booster Club with my dues.
Membership Type: Would you like a 4-year membership or 1-year membership? *
With a 4-year membership, you only need to apply one time, and you get one year free!                                                                NOTE: The online payment link is given once you click "submit" below.
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