East Football Boosters publishes a player directory for the team members, booster

committees, and parents. Please print clearly in the spaces below. Thank you.

Player’s Name: _____________________________________ Grade in Fall 2007: ________

Mother’s Information: Name: _____________________________________________

Address: ___________________________________________________________________

Home Phone: ___________________ Work Phone: _____________ Cell: ______________

*e-Mail: ___________________________________________________________________

Father’s Information: Name: ____________________________________________

Address: same as mother or _________________________________________________

Home Phone: ___________________ Work Phone: _____________ Cell: ______________

*e-Mail: ___________________________________________________________________

*All communications will be done primarily through e-mail. Please note if you do not have an e-mail

address and we will contact you by phone.

BOOSTER DUES $65 $65 per family

Payable to: W Ch East Football Boosters

Due by: July 1, 2007

Mail to: Beth Brice

933 Elmwood Avenue

West Chester, PA 19380

Thank you so much for your payment and support in the football program.

For Secretary/Treasurer only: Date Paid: __________ Check # __________