Junior Husky Club Application Form
print form and send in using address below:
Name: _________________________________________________________
Address: _______________________________________________________
City: __________________________ State: _______ ZIP:
_____________
T-Shirt Size: Child (10-12)____ Adult S____ Adult M____
Adult L____ Adult XL____
Email (for Jonathan's Roll Call: ________________________________________
Birthday (Month/Day/Year):______________________ Phone Number: (
) _____- _______
Favorite Sport: ________________________________________
| Now, here’s the small print ...
• Children 13 and under are eligible to become members.
• Make checks or money orders for $19 payable
to "UConn."
• Please allow 3-4 weeks for delivery.
• Memberships are valid for one year from the date your
order is received.
• Print this form and mail with your payment to:
UConn Junior Husky Club
2111 Hillside Road, Unit 3078
Storrs, CT 06269-3078
Questions? E-mail
jonathan@uconn.edu or call 860-486-2387. |
The Junior Husky Club is Sponsored By:
|