RaiseRight - Waiver of Responsibility Form
Please confirm the following rules and policies for the Rosemount High School Band RaiseRight Fundraising Program. Once you have agreed to all the terms and conditions, you will be asked to fill in all your contact information as well as an electronic signature confirming you have read and understand all the policies.
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Email *
I have already completed the online enrollment process with raiseright.com and have confirmed the ACH electronic deposits into my account. (If NO, you need to go back and enroll and set up an account online before filling out this form.) *
RaiseRight rebates are either deposited into a student account or the Band General Fund as you indicate below. *
Required
RaiseRight rebates into a student account are neither taxable nor tax deductible (IRS PLR-118535-09) *
Required
RaiseRight rebates deposited into a General Band Fund are fully tax deductible and will be acknowledged under sections 170(f)(8) and 170(f)(17) of the IRS Code *
Required
All RaiseRight ordering is done online or on the app using electronic withdrawal from a bank account or if using a credit card, a 2.6% processing fee will be added to your order. *
Required
Any payment returned for non-sufficient funds (NSF) will incur $30 fee payable to Rosemount Band. We reserve the right to close a RaiseRight account after two NSF occurrences. *
Required
RaiseRight cards are not returnable, except directly to RaiseRight following their guidelines. *
Required
When you pick up your RaiseRight cards, you are responsible for reviewing your order to verify its accuracy. *
Required
RaiseRight cards are the same as cash and should be handled accordingly. Rosemount Band is not responsible for lost, stolen or misplaced cards. *
Required
You must sign this electronic Waiver of Responsibility form before your RaiseRight account will be authorized. Record of this form will be kept on file with the Rosemount Band RaiseRight coordinators. *
Required
Rosemount Band makes no representations or warranties of any kind with respect to RaiseRight. *
Required
Account Holder Last Name *
Account Holder First Name *
Street Address *
City *
State *
Zip Code *
Account Holder Cell Phone Number *
Account Holder Email Address *
I have read and understand all the rules and policies listed above and agree to abide by these policies. TYPE YOUR FULL NAME BELOW. This acts as your electronic signature. *
Today's date *
MM
/
DD
/
YYYY
Student Account my RaiseRight rebates will support. (First and Last name that is used by District 196) If you are supporting the Band General Fund, type N/A. *
Grade of my student for the 2024-2025 school year *
Required
If you want to support the Rosemount Band General Fund - please type BAND GENERAL FUND in this field
A copy of your responses will be emailed to the address you provided.
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