Rector High School Sports Hall of Fame

Individual MEMBERSHIP APPLICATION

NAME: (include maiden name) _______________________________________

ADDRESS:  _____________________________________________________

PHONE: ________________________________________________________

E-MAIL: ________________________________________________________

Alumnus of: Rector High School _____ Greenway High School _____

Clay County Central High School _____ Graduation Year _____

I) Athletes Please check off all sports played in high school in below;

Basketball [ ]

Football [ ]

Golf [ ]

Softball [ ]

Baseball [ ]

Tennis [ ]

Volleyball [ ]

Others [ ]

II) Coaches Please list all sports coached below; Baseball [ ], Track and Field [ ], Basketball [ ], Volleyball [ ], Football [ ], Softball [ ], Golf [ ], Tennis [ ].

III) Athletic Director [ ], Trainer [ ], Team Manager [ ], other ___________________ [ ].

IV) Non-Athlete Alumnus: supporting the RHS Sports Hall of Fame [ ] (Past and present administrators and staff are considered alumni)

V) Associate Member: Non-Alumnus but would like to support the RHS Sports Hall of Fame [ ]

Founders Membership*: $500 and above; Charter Lifetime Membership**: $250 - $499; Winners Membership: $100 - $249; Team Player Membership: $10.00 up to $99.00.  Membership dues cover scholarship funds, operating costs, newsletters, website, and athletic department needs.

*Founders Membership must be paid in full by August 30, 2008 
** Charter Lifetime Membership open until September 5, 2009

SEND A CHECK OR MONEY ORDER TO: 

RHS Sports Hall of Fame, Inc.
In care of Dr. Owen Moseley
1703 Loberg Lane,
Jonesboro, AR 72401-4670 

Please copy this form and pass it on to prospective members  

July 23, 2008