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Membership Form

Fill out the form with the required information ( * )and it will be forwarded to the MDHS Hurricane Booster Membership Liaison. You may also print out the Membership Form and hand deliver or mail it to the ATTN: MDHS Boosters, 700 N. Highland St., Mount Dora, FL 32757.

Parent Name(s): *
Address:

*

City:

*

State:

Zip:

*

Phone: *
Email: *
   
* Please select the level of membership you would like.
(No money will be collected from this website, this form is for member applications only, you will be contacted to confirm your membership)
$1000 - Cat. 5 Hurricane
$500 - Golden Hurricane
$250 - Silver Hurricane
$100 - Hurricane 110%er
$50 - Go Canes
$25 - Varsity Hurricane
   
MDHS Student 1
Name Grade
MDHS Student 2
Name Grade
MDHS Student 3
Name Grade
   
Children in other Lake County Schools
Student Name Grade
Student Name Grade
   
 
   
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