Family Sponsorship Form – Tom C Clark Cougar Band

Our Sponsors
Become a Sponsor
Make a Donation

Cougar Band Family Sponsorship Application

Your Name *

First

Last

Family Name *

How would you like your family name to appear? Examples: The Smith Family (standard), Bob Smith & Sarah Johanssen, The Smith-Johanssen Family, etc.

Student's Name *

First

Last

25% of your donation will be credited to your student's Band Account!

Phone *

Email *

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Indicate Your Level of Sponsorship *

† - Please note that we ask your PayPal donation be slightly higher to cover PayPal's surcharge fees. To avoid this you can also simply donate by check.

Choose Your Payment Method *

You will receive further instructions after you submit this form.

Our Sponsors

Cougar Band Family Sponsorship Application