Family Membership SENIORS APPLYING FOR THE HOSA SCHOLARSHIPMUST HAVE A FAMILY MEMBER IN THE KHSHS BOOSTER CLUB. 2021-2022 Family Membership Student Name* First Last Guardian Name* First Last Guardian Email* Guardian Phone Number (Optional)All membership options at or above $100 include donations with a 501c(3) non-profit tax deduction receipt. Platinum: $1,000.00 Donor receives 4 complimentary tickets to the HOSA year end banquet, recognition on the website and in the banquet program. Gold: $500.00 Donor receives 2 complimentary tickets to the HOSA year end banquet, recognition on the website and in the banquet program. Silver: $250.00 Donor receives a HOSA T-Shirt and is recognized on the website and in the banquet program. Blue: $100.00 Donor is recognized on the website and in the banquet program. Mustang: $27.50 Up to $10.00 paid per student for the end of the year banquet. Eligible to apply for HOSA Senior Scholarship.Choose Your Membership + Donation Option: Platinum ($1,000) Gold ($500) Silver ($250) Blue ($100) Mustang ($27.50) Additional Donation: Total $0.00 Volunteer Support Areas:Your support, both financially and as a volunteer, is critical to the success of the KHS HOSA program. Please select one or more of the following committees that you may be interested in joining: Select All Board of Directors Chaperones Fundraising Banquet Planning Hospitality/Teacher Appreciation Scholarship Committee I am always willing to help out, just call me Contact Me About SponsorshipsBy becoming a sponsor, your business would be supporting the future of healthcare, as well as connecting with individuals and families that could soon become your customers. Your name or business would be featured on our website and at HOSA competitions. Please contact me regarding opportunities to sponsor KHS HOSA.Credit CardCard Details Cardholder Name EmailThis field is for validation purposes and should be left unchanged. Δ