2019-2020 Request to Use Student Funds
To apply funds from your student’s rebate account towards a Chorus related expense, please do the following:
1. Check the balance of your student’s rebate account by emailing the Scrip Coordinator, Michele Bach-Hansen,
. Please include your student’s name and allow 24-48 hours to receive the amount.
2. Decide how much you want to use.
3. Complete the Request to Use Student Funds form. If using the funds for a trip payment and the amount in the rebate account doesn’t cover the full payment due, you are responsible for sending a check for the remaining balance. My School Bucks cannot accept partial payment amounts. In order to transfer funds, you will need to have completed a 2019-20 Student Fundraising Agreement and have paid the $5 annual fee. Please submit your Request to Use Student Funds at least one week prior to the payment due date to allow time for processing.
For questions, contact Michele Bach-Hansen, Scrip Coordinator at
or Amy Moir, WTW Choral Director at
Student First Name
Student Last Name
For what are you requesting funds?
Trip payment 1 (total due = $225 by October 25, 2019)
Trip payment 2 (total due = $250 by January 31, 2020)
Trip payment 3 (total due ~ $205 by March 6, 2020)
Amount you would like to apply (please specify a dollar amount, rather than "all of it"):
By writing your name below, you authorize the transfer of funds from your student's rebate account to apply towards the payment of the marked item and agree to the terms listed above.
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