Red Ribbon Reading Donation Form

Are you the student's parent or legal guardian?*
Email
How many children participated in Red Ribbon Reading?*
How many children are you sponsoring?*
Student 1 Name*
First Last
Student 1 - Grade/Teacher*
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*
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*
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*
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?
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?
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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Red Ribbon Reading Donation Form

Additional Giving Options

Payment Options

Selwyn PTA

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