· Membership Registration Form

· Parent Information

Name(s): _____________________________________________________

Address: _____________________________________________________

Phone Home: ________________Work: ___________________________

E-Mail Address: ______________________________________________________

· Athlete(s) Information

Name: ______________________________________Grade: ___________

Sports Activity:__________________________________________________________

Name: ______________________________________Grade: ___________

Name: ______________________________________Grade: ____________

Sports Activity: _________________________________________________

· Membership Categories:

____ Panther Sustainer (indicate shirt style and size) $275

Includes annual membership, choice of “Panther Spirit” logo shirt, all sports pass for

each family member, Lakeside Static Cling Window Sticker or Panther license plate, parking pass.

*Shirt style- Mens___________ Ladies________ Size_________

___ _ Panther Partner (indicate shirt style and size) $100

Includes annual membership, “Panther Spirit” logo shirt and Lakeside Static Cling Window Sticker or Panther license plate.

*Shirt style- Mens____________ Ladies________ Size_________

____ Standard Membership $40

Includes annual membership and Lakeside Static Cling Window Sticker or License plate.

* Shirt styles will be on display at Open House and home football games.

Or contact an LPAA Board Member for further information.

· Spirit Assistance/ Volunteer Opportunities

Please select one of the committees/areas: Concession Stand, Field Maintenance,

Pre-Game Support, After-Game Cleanup, Ticket Sales, Fundraising (Tree Sales, Plant Sales),

Post Season Banquets, Sports Information to Public, Will Help Wherever Needed.

Preference: ____________________________________________________

Please complete form mail or return to main office. Make check payable to LPAA

· Lakeside High School 533 Blue Ridge Drive Evans, Georgia 30809