GUHSAA Membership Application
* indicates a required field
*Name: *First :
*Last :
Maiden :
Phone: Area code: Number:
*E-mail Address:  
*I am a:
Grant High graduate, year of:
Norte Del Rio graduate, year of:
past or current faculty, years of: to
Other affiliation?
*Select type of membership desired:
Student @  $10.00 per year
Bronze @ $20.00 per year
Silver @ $30.00 per year
Gold @ $50.00 per year
Would you like to make an additional donation to G.U.H.S.A.A. ?
If so, please specify donation amount
Total amount enclosed $
Please continue to the next page to print the completed application.