Community Building, Support, & Fundraising

BASIS Medical Center Boosters

BASIS Medical Center BoostersBASIS Medical Center BoostersBASIS Medical Center Boosters

BASIS Medical Center Boosters

BASIS Medical Center BoostersBASIS Medical Center BoostersBASIS Medical Center Boosters

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- Ways to support Boosters
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Membership Application
Boosters in Action
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Order Lunches
- How to order lunches
Connect
- Connect with us

Online Membership Application

Please complete the form and pay the membership fee below.

Member 1 Name*

Member 2 Name

Address*

Email*

Phone*

BASIS MC Student 1 Name*

Student 1 Grade & Element*

BASIS MC Student 2 Name

Student 2 Grade & Element

BASIS MC Student 3 Name

Student 3 Grade & Element

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Printable Membership Application

You may turn in this completed form along with cash or check payment to the school front office. If paying by check, please make payable to

"Basis Medical Center Boosters"

Registration Form 2024-2025.pdf (pdf)Download

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