SPX Men's Club On-Line Registration

Last Name:
First Name:
Address:
City:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Fax:
Email:
Alternate Email:
Occupation:
Spouse's Name:
Do you have any children at SPX? If so, please provide the following information: Child 1: Name: Grade: Child 2: Name: Grade: Child 3: Name: Grade: Child 4: Name: Grade: The Men's Club needs your help on any of the following activities scheduled during the school year. Please select any that apply so we may contact you: Fall Sports Program (Flag Football, Cabbageball, Volleyball) Soccer Program Telephone Reminders Food/Drinks Publicity Wrestling Website Coupon Books Fishing Rodeo Haunted House Hayride Pumpkin Patch Nativity Cross Country Middle School Basketball Seafood Night Meeting Halloween Fest (Haunted House, Hayride) Christmas Tree Lighting Wild Game Night Meeting SPX Fair Construction/Demolition Men's Club Mass Golf Tournament Food Committee Blood Drive
Questions? Mel Leveque 416-0237, E-Mail: melleveque@yahoo.com After submitting, you can pay with PayPal* - $50*