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Annual Support Donation Form
$15 of your donation goes to your annual PTA membership. Please fill out the form completely for proper donation credit. Thank you for your support! Change the language of the form to Spanish, by clicking the language/flag in the top right corner.
Parent/Guardian/ Donor Name
*
First Name
Last Name
Student 1 Name
*
First Name
Last Name
Student 1 Teacher
*
Arsalan
Baba
Bouzaglo
D'Abreau
Danis
Dorsey
Ekmekji
Fuentes
Garcia
Goodwin
Harmon
Herrera
Hong
Jacksier
Kang
Klopping
Luker
Mahler
Mardirossian
Millenbaugh
Moradi
Neuhaus
Perez
Perros Barrett
Rawcliffe
Richardson
Room 44 (TK/K)
Samuelson
Schaffer
Solorzano (1st)
Solorzano (TK)
Trinh
Voss
Wang (1st)
Wong (2nd)
Student 2 Name
First Name
Last Name
Student 2 Teacher
Arsalan
Baba
Bouzaglo
D'Abreau
Danis
Dorsey
Ekmekji
Fuentes
Garcia
Goodwin
Harmon
Herrera
Hong
Jacksier
Kang
Klopping
Luker
Mahler
Mardirossian
Millenbaugh
Moradi
Neuhaus
Perez
Perros Barrett
Rawcliffe
Richardson
Room 44 (TK/K)
Samuelson
Schaffer
Solorzano (1st)
Solorzano (TK)
Trinh
Voss
Wang (1st)
Wong (2nd)
Student 3 Name
First Name
Last Name
Student 3 Teacher
Arsalan
Baba
Bouzaglo
D'Abreau
Danis
Dorsey
Ekmekji
Fuentes
Garcia
Goodwin
Harmon
Herrera
Hong
Jacksier
Kang
Klopping
Luker
Mahler
Mardirossian
Millenbaugh
Moradi
Neuhaus
Perez
Perros Barrett
Rawcliffe
Richardson
Room 44 (TK/K)
Samuelson
Schaffer
Solorzano (1st)
Solorzano (TK)
Trinh
Voss
Wang (1st)
Wong (2nd)
Home Address
Street Address
Street Address Line 2
City
State
Zip Code
Parent/Guardian E-mail
*
example@example.com
Phone Number
-
Area Code
Phone Number
Company Name
Please list your company and we will research to see if they have a donation match program
Donation Information
Suggested donation is $540 per family or $45 monthly for 12 months. Any amount is welcome. Donations are tax deductible. $15 of your donation goes towards PTA membership. NEW donations incentives this year: become a "Den Leader" donor and receive a Kester Sticker, Kester Insulated Grocery Bag, Kester T-Shirt, Kester Hoodie, and a Kester Stainless Water Bottle!
Contribution
*
I/We can make the suggested donation of $540 per Family
I/We can do more - $780 (or $65 a month)
I/We can do more - $900 (or $75 a month)
I/We can contribute the following:
Pledge Amount
*
Total pledged donation amount
Payment Option
*
One Time Online Payment
12 Monthly Payments
Check to Kester PTA
Cash
Please mail or drop off cash or checks to Kester PTA to the school office
Calculated Payment
Enter your credit card details and your card will be charged the Online Payment Amount today.
Online Payment Amount
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( X )
USD
Annual Support Donation
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Select shirt size for donation incentive
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Yearbook Acknowledgment
Remain Anonymous
List in yearbook as:
Yearbook listing
No donation amounts will be listed
Kester PTA e-mail list
Add me to the list
No, thanks
Already on the list
Would you like to be added to the email list for Kester PTA?
Kester Krew (formerly POPS) e-mail list
Add me to the list
No, thank you
Already on the list
Kester Krew is a group of parents that runs school Beautification Days and other programs that make Kester awesome. Would you like to be added to their email list?
Source Flag
Yes
Submit Donation Form
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