- APPLICATION FOR MEMBERSHIP -
Become a Junior Red Raider
   
 

Parent/Guardian Information
 
Names of Parent / Guardian:
Telephone Numbers:
Street Address:
City:
State:
Zip:
E-mail Address:
Re-enter E-mail Address:
   

Check this box to verify that your child has permission to join The JUNIOR Red Raider Club.
Additionally, you permit them to all benefits of membership as described in the overview.

Check this box to agree to supervise your JUNIOR Red Raider by reading all correspondence before handing it to your child.

Child #1 Information
 
Name of Child #1:
Birthday:
Street Address:
City:
State:
Zip:
   
 

Child #2 Information
 
Name of Child #2:
Birthday:
Street Address:
City:
State:
Zip:
   


To register more children, please repeat application process.
There are no limits to the number of children that one can register.
 
 

Please make all checks payable to TECH Couples & Families in the amount of $10.00 per child.

A membership lasts for one year.

You will be invited to renew membership near the end of the membership year.
 
 
 

 Please send check to:
 
TECH Couples & Families
Center for Campus Life
Texas Tech University
Box  42031-29
Lubbock, TX 79409
 
Be sure to write child's name on check so we can record and process your payment promptly.
 
 
 

Thanks for participating!     Welcome to The JUNIOR Red Raider Club! 

Please hit "Submit Application" button above.