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Red Ribbon Reading Donation Form
Are you the student's parent or legal guardian?
*
Yes
No
Email
How many children participated in Red Ribbon Reading?
*
1
2
3
4
How many children are you sponsoring?
*
1
2
3
4
Student 1 Name
*
First
Last
Student 1 - Grade/Teacher
*
K - Ashley
K- Derrick
K- Fisher
K- Mateer
K - Sparks
1 - Goodson
1 - Thayer
1 - Valois
1 - Vruwink
1 - Watson
1 - Weedon
2 - Cooney
2 - McDonald
2 - Patton
2 - Peterson
2 - Tauber
3 - Brownlow
3 - Kepley
3 - Majithia
3 - Muth
3 - Smyth
4 - Lockwood
4 - Mills
4 - Postal
4 - Taylor
5 - Chalfant
5 - Kuykendall
5- Lin
5 - Richardson
A-Team - Davis
A-Team - Clark
A-Team - Eley
Student 1 - Hours Read
*
Student 1 - Parent's Name (Verification of Hours Read)
*
Student 1 - Donation Amount
*
Student 2 Name
*
First
Last
Student 2 - Grade/Teacher
*
K - Ashley
K - Derrick
K- Fisher
K- Mateer
K - Sparks
1 - Goodson
1 - Thayer
1 - Valois
1 - Vruwink
1 - Watson
1 - Weedon
2 - Cooney
2 - McDonald
2 - Patton
2 - Peterson
2 - Tauber
3 - Brownlow
3 - Kepley
3 - Majithia
3 - Muth
3 - Smyth
4 - Lockwood
4 - Mills
4 - Postal
4 - Taylor
5 - Kuykendall
5- Lin
5 - Richardson
5 - Watson
A-Team - Davis
A-Team - Clark
A-Team - Eley
Student 2 - Hours Read
*
Student 2 - Parent's Name (Verification of Hours Read)
*
Student 2 - Donation Amount
*
Student 3 Name
*
First
Last
Student 3 - Grade/Teacher
*
K - Ashley
K - Derrick
K- Fisher
K- Mateer
K - Sparks
1 - Goodson
1 - Thayer
1 - Valois
1 - Vruwink
1 - Watson
1 - Weedon
2 - Cooney
2 - McDonald
2 - Patton
2 - Peterson
2 - Tauber
3 - Brownlow
3 - Kepley
3 - Majithia
3 - Muth
3 - Smyth
4 - Lockwood
4 - Mills
4 - Postal
4 - Taylor
5 - Chalfant
5 - Kuykendall
5- Lin
5 - Richardson
A-Team - Davis
A-Team - Clark
A-Team - Eley
Student 3 - Hours Read
*
Student 3 - Parent's Name (Verification of Hours Read)
*
Student 3 - Donation Amount
*
Student 4 Name
*
First
Last
Student 4 - Grade/Teacher
*
K - Ashley
K - Derrick
K - Fisher
K- Mateer
K - Sparks
1 - Goodson
1 - Thayer
1 - Valois
1 - Vruwink
1 - Watson
1 - Weedon
2 - Cooney
2 - McDonald
2 - Patton
2 - Peterson
2 - Tauber
3 - Brownlow
3 - Kepley
3 - Majithia
3 - Muth
3 - Smyth
4 - Lockwood
4 - Mills
4 - Postal
4 - Taylor
5 - Chalfant
5 - Kuykendall
5- Lin
5 - Richardson
A-Team - Davis
A-Team - Clark
A-Team - Eley
Student 4 - Hours Read
*
Student 4 - Parent's Name (Verification of Hours Read)
*
Student 4 - Donation Amount
*
Additional Giving Options
Is this donation eligible for corporate matching?
No
Yes
Click here to see if your company is eligible for matching
Company Name
*
Other
Bank of America
Duke Energy
Wells Fargo
Company Name
*
Payment Options
How do you want to pay?
Pay with paypal (will be directed to paypal after submitting form)
Pay with check
PayPal (Select One)
*
Donate 100% - Add 3% so that 100% of the donation goes to Selwyn Elementary.
Donate 97% - I understand Paypal, Inc. will deduct 3% to cover transaction costs.
Donate 100% - Add 3% so that 100% of the donation goes to Selwyn Elementary.
Price:
$0.00
Checks should be made payable to Selwyn PTA and mark "RRR and your child's name" on the memo line. Please mail to: Lindley Lacey 1904 Maryland Avenue Charlotte, NC 28209 If it is difficult for your out-of-town sponsors to get their pledges to you in the timeframe needed, please consider writing one check to cover these donations and asking these sponsors to write a check to you personally.
Donation Total
$0.00
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PTA Info
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PTA Info
Enroll at Selwyn
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Existing Parents
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