Locker Donation Form

Locker Donation Form

Dedicate a locker to a loved one, grandchild, or in memory of a friend or family member. 120 lockers are available in a one-time opportunity to support our school and help us get to the finish line on our next building. Lockers are $3,000 each, and can be given towards over a period of 3 years – that can be as low as $85 a month.
Name*

PrefixFirst NameLast Name
Email*
example@example.com
Locker Donations Pledge
I (we) want to dedicateamount lockers ($3,000/ea).
Our gift will be given over:

One yearTwo yearsThree years
Payment Schedule:

MonthlyQuarterlyYearly
Pay Now (Optional)
prevnext( X )
I (we) want to dedicate ______ lockers.Enter description
$3,000.00 Quantity

Total

$0.00
Locker Dedication
Dedications will be engraved on a plaque and attached to the locker. If you would like to submit your dedication at a later date, skip this section and we will follow up with you.
Scripture verse (optional)
In Honor of name
In Memory of blank
Dedicated by blank
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Locker Donations Pledge