The Nacogdoches Dragon Athletic Booster Club supports scholarships and all athletic programs and individual booster clubs but without your support, this can’t be done.

Your financial contributions can be designated for SCHOLARSHIPS only OR divided 60% for your designated sport(s) and 40% to the scholarship fund.

Return this form to the address below. Your contributions are tax deductible (Non-Profit Tax ID Number 75-2552336, a 501(c) (3) organization).

GROUPS YOU WISH TO SUPPORT: (will be divided equally if more than one checked)

• SCHOLARSHIP ONLY

• Baseball ○ Golf ○ Swimming
• Basketball, Boys ○ Power Lifting ○ Tennis
• Basketball, Girls ○ Soccer, Boys ○ Track, Boys
• Cross Country ○ Soccer, Girls ○ Track, Girls
• Football ○ Softball ○Volleyball

Name (as you want listed in program) _______________________________________________

Mailing Address ________________________________________________________________

City_________________________ State _______________ Zip _____________

MEMBERSHIP LEVEL (Please circle one)

BLACK HAT $100.00

GOLD LEVEL $ 50.00

DRAGON LEVEL $ 25.00

Makes checks payable to NDABC. Please return this form ASAP with payment attached to:

NDABC

Attn: Black Hats

PO Box 630157

Nacogdoches, TX 75963-0157