Champion Membership Registration

Name (Championship membership is you and significant other) *

First

Last

Maiden Name (if applicable)

Spouse/Significant Other

First

Last

Mobile Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Are you a BHS Alumni? *

Graduation Year

Do you have children who are graduates of BHS? *

Would you be interested to help mentor students at Borden? *

Would you be interested in helping with Alumni Activities?

Would you be interested in helping to promote Borden Schools?

Multiple Items

Donation Amount

Total

$ 0.00

Payment Type *

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