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4th Grade Submission Form
Please fill out this form and submit your voluntary contribution via QR code/PayPal link below. Many thanks for supporting our 4th graders!
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* Indicates required question
Child's Full Name
*
Your answer
Please select your child's teacher.
*
Ms. Babson
Ms. Boutin
Ms. Jackson
Mrs. LaCava
Ms. Smith
Parent Completing this Form
*
Your answer
Parent's Email Address
*
Your answer
Voluntary Contribution - Record amount here. $50 is suggested. All contributions will be accepted.
*
Your answer
Additional Contribution - These funds will be utilized to help defray costs for families in need.
Your answer
Child’s Current T-Shirt Size - Shirts are cotton, so ordering up a size is recommended. All children will receive a t-shirt regardless of ability to contribute
*
Youth Medium (10-12)
Youth Large (14-16)
Youth X-Large (18-20)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X
Adult 3X
Extra T-Shirt Order - Adult sizing/$15 per shirt
S
M
L
XL
XXL
Clear selection
Total Funds to Be Paid Via QR Code/Pay Pal
*
Your answer
QR Code - Please indicate if paid.
*
Your answer
Use this QR code, or this link (
https://www.paypal.com/donate/?hosted_button_id=BLQ6MLXPQEXCY
) to access PayPal.
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