MHS Cross Country Pack Club Membership

Runner’s Name / Grade in the Fall: _______________________

Parents’ Names:  ____________________________________

Home Address:  ____________________________________

Phone Number:  _____________________________________

E-mail address:  ____________________________________

Membership is $10.00 per family. Please mail or give to Barb Denton, 7866 Champaign Dr., Mentor 44060.

Would you be interested in helping out the team with a donation for a case of Gatorade???

____ YES    ____ NO

If so, please add $15 to your membership fee.  Thank you so much for the help!!!