Bucs Club Membership Drive 2017-18

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Phone *

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?

Select one *

  Black Beard's Crew ($2,500)
  Captain's Crew ($1,000)
  Jolly Roger's Club ($500)
  Navigator's Club ($300)
  Master Gunner's Club ($100)
  Other

If other, please enter the amount

Select from the following *

  General Athletic Fund
  Baseball
  Softball
  Men's Basketball
  Women's Basketball
  Rodeo
  Volleyball
  Weight & Cardio Rooms
  Other

If other, please specify

Shirt/Jacket size *

  Small
  Medium
  Large
  X-Large
  XX-Large

I understand this charge will appear on my bank statements as "PrestoSports" *

Yes

* = required field