25/26 PTO Reimbursement Requests

25/26 PTO Reimbursement Request
Thank you to everyone who has volunteered to be on the Revolution Academy PTO this year. We are excited to make a big impact on the lives of the Teachers and Students of Revolution Academy. We look forward to what we can do to help increase the quality of life for everyone involved with Revolution Academy this year! Go Rhinos!!!

Please fill out all sections of the reimbursement request form. Please check the box specifying if this purchase is in your original budget or If the spending was approved in a meeting (with date).

Once you have filled out the form please use the camera on your phone to take a picture of all receipts included in the purchase.

Thanks for all of your support!
Please type your name.*

First NameLast Name
Please Identify which committee you are representing?*
If your committee is not listed please reach out to PTO Treasurer (Kevin Morris) to have form updated.
Request date.*

MonthDayYear
Date
Included in Committee BudgetApproved in PTO MeetingExecutive Officer Approval
Committee Meeting Date when Approved (if Applicable)?

MonthDayYear
Date
Total purchase amount?*
Please enter a brief description of what was bought and reason? If multiple purchases please list Retailers and amounts below.*
Example: paint brushes, paint, and paper for sign project. Charges: Target $100.00, Walmart $50.00 etc.
Receipt Image
Attach PDF of Receipt

Cancelof
Receipt Image (If Needed)
Receipt Image (If Needed)
Mail Check to My address belowPick up check in Parent room PTO safe cabinetI have Previously scheduled with an Executive Officer on meeting to receive check
Make Check Payable to?*
Mailing address: (if Applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please verify that you are human*
Should be Empty: