NORTHWESTERN ATHLETICS

Brian Smith, Athletic Director

NORTHWESTERN HIGH SCHOOL

4175 South Country Road F

P.O. Box 218

Maple, WI 54854

(715) 363-2434

Family Pass Value - $75         Single Adult Value - $40       Student (k-8) Value - $25

Applicant’s Name:  _________________________________________     Date:_____________

Mailing Address:   __________________________________________

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• The Family Pass is for immediate family, parents/guardians and children from birth through 8th grade, living at home for the school year. 
• Your pass (or passes if you are filling out a family membership) may be picked up in the High School office or will be mailed to you upon completion of this form and full payment.
• This pass allows you free admission to all home contests at Northwestern for the following sports: Volleyball, Football, Wrestling, High School Boys and Girls Basketball.
• This pass does not include free admission to W.I.A.A. tournaments or similar events not entirely sponsored by Northwestern High School or the School District of Maple. 
• These passes are non-transferable.

If this is a family pass application, list the immediate members of the family below and include their year in school if applicable.

Name ( Please print clearly) Year in School    

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