Peachtree Ridge High School

Sixth Man Club

Membership Form

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Player Name:____________________________________

TEAM (Circle One)

Boys: Varsity JV 9^th Grade Girls: Varsity JV 9^th Grade

ADDRESS: _______________________________________________________

City____________________________Zip_____________________

PARENT’S NAME:

Mother _________________________ Father __________________________

HOME PHONE #:

Mother _________________________ Father __________________________

CELL PHONE #:

Mother _________________________ Father __________________________

E-MAIL ADDRESS:

Mother ___________________________________________________________

Father ____________________________________________________________

Please make checks out to the PRHS 6^th Man Club

Dues are $325 per family (plus $175 per each additional player in family). Payment is due by Thursday, November 16. If you have any questions, please feel free to call

Sue Stokke, Treasurer, at 678-957-0868 or by email at suestokke@bellsouth.net.