SUBMISSION FORM
After hitting "Submit" at the bottom of this form, you will be directed to PayPal to complete the transaction.
Name
*
First Name
Last Name
E-mail
*
Confirmation Email
example@example.com
Secondary Email
A confirmation will also be shared with this email address.
Cell Phone Number
*
-
Area Code
Phone Number
Class Parties for Students // $30 per Student
1st Grade • Foam Party // Fri, May 26, 1:00 – 2:30 PM
4th Grade • Pool Party // Fri, May 26, 12:30 – 2:00 PM
Additional Payment for Twins, etc.
If applicable; numerical value only, no symbols/characters, "$"
Sub-Total for Class Parties
Name(s) of Participating Student(s) and Grade(s)
Ex: "Johnny Johnson, 4th"; seperate multiple names with a semicolon.
Archery // Sat, April 29
Please Select
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$20 per participant; at least one adult must be present per family (ages 8+)
First Communion Tea // Sat, May 13
Please Select
0
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$20 per participant; at least one adult must be present per family
Ladies Pool Day @ Casa de Torline // Fri, June 16
Please Select
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$75 per participant; 21+, ladies only
First & Last Name(s) of Participating Adult(s) and/or Child(ren)
Seperate multiple names with a semicolon.
Sub-Total for Party Centers
Total Donation
Numerical value only; no symbols (ex: $)
Purpose of Donation
Seperate multiple entries with a semicolon.
Hidden Total of All Sub-Totals
Grand Total
*
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next
( X )
USD
Auction Party Donation Total
SUBMIT FORM
SUBMITTING THE FORM
After hitting "Submit", you will be directed to PayPal to complete the payment. If you are not redirected and/or do not receive a confirmation email upon payment, please contact Melissa Clarkson, melissa.clarkson1@gmail.com.
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