
Name:____________________________________________________________________________________
Email Address: _______________________ Player's Name(s):_______________________________________
Home Address: ____________________________________________________________________________
Home Phone: ______________________________ Cell: ____________________________________________
Dad's Work Phone: _________________________ Cell (Dad): _______________________________________
Mom's Work Phone: _________________________ Cell (Mom): ______________________________________
Membership Options
LC TROJANS DUGOUT CLUB
(Membership Options)
Diamond Level Package: $200 Contribution
Club Level Package: $150 Contribution
Dugout Level Package: $50 Contribution
Alumni Membership Package: $50 Contribution*
*In order to reserve a spot on the Alumni Roster for the game, a non-refundable deposit of $20 will be required, or the entire registration fee can be paid up-front, if the participant chooses to exercise that option. The purpose for requiring a $20 deposit is for offsetting the expense to the DOC for purchaing commemorative T-Shirts for the game to give to the participants, and these shirts are ordered in advance of the game.
Bleacher Level Membership Package: $25 Contribution
Please Select One Of The Above Membership Options... And, Also, Please Fill Out A Season Pass Form, If It Is Included In One Of The Options That Is chosen...
Checks should be made out to "Trojan Dugout Club" and mailed with this form to:
Tim Parker
880 McCollum Road
Barnesville, GA 30204