First Namerequired

Last Namerequired

Phonerequired

###-###-####

Mailing Addressrequired

Cityrequired

Staterequired

Ziprequired

Are you an HBA alum?

Graduation Year

Do you have a child, or children, who are currently enrolled at HBA, or are HBA alumni?

Child 1 First & Last Name

Grade Level or Graduation Year

Sports Played

Child 2 First & Last Name

(optional)

Grade Level or Graduation Year

Sports Played

Child 3 First & Last Name

(optional)

Grade Level or Graduation Year

Sports Played

Child 4 First & Last Name

(optional)

Grade Level or Graduation Year

Sports Played

I am interested in helping the HBA ABC by/with:*

Club Dues

Club Dues are $5.00 per member. Full ABC membership benefits will be provided to those who, within the school year, attend Club meetings and participate in 3 out of 6 special events.

I agree to pay $5 to become a member of HBA's ABC.required

Digital Signature Consentrequired

You agree and consent that your use of a key pad, mouse or other device to select an item, button, icon, checkbox, to enter text, or to perform a similar act/action (e.g., by clicking “Submit”) constitutes your electronic signature and signifies your intent to be bound. You understand that your electronic signature is legally binding, just as if you manually signed a paper document in ink.