Kipps PTO Face Mask Fundraiser Order Form
This is your chance to get a custom Kipps Kangaroos face mask. Each mask is now $8. All proceeds go to Kipps PTO to support our Kipps teachers and staff! The picture of the custom face mask is above. Please email
with any questions.
First come, first served!
Adult masks - 30 remain
Child masks - 37 remain
Face Mask Features
- Adjustable Ear Loops
- Adjustable Nose Bridge Bar
Layer 1: 100% cotton
Layer 2: 10% cotton & 90% polyester
Order in 2 sizes:
- Adult - 8.5" X 5.25"
- Child - 6.6" X 4.3"
Use PayPal with note "March Mask":
Use Venmo with note "March Mask":
Parent First Name
Parent Last Name
Child(ren) - First Name(s)
Child(ren) Last Name(s)
Child #1 Teacher or write "Virtual Learner"
Child #2 Teacher or write "Virtual Learner"
Child #3 Teacher or write "Virtual Learner"
Child #4 Teacher or write "Virtual Learner"
Child(ren) Grade Level (Choose as many as applicable)
Kipps Kangaroos Custom Face Mask Sizing *Adult - 8.5" X 5.25" *Child - 6.6" X 4.3"
Adult Mask Quantity Desired:
Child Mask Quantity Desired:
I will pay by:
check through my child's teacher
check through the mail @ Kipps PTO, 2801 Prices Fork Rd., Blacksburg, VA 24060
I would like a mask but am unable financially right now & would like to be considered for Student Emergency Funds. (Please note: this can only be used for a child's mask)
Record your total amount below. Each mask is $8. $8 x ___ (masks ordered) = $TOTAL
$8 - 1 mask total
$16 - 2 masks total
$24 - 3 masks total
$32 - 4 masks total
$40 - 5 masks total
$48 - 6 masks total
$56 - 7 masks total
$64 - 8 masks total
$72 - 9 masks total
$80 - 10 masks total
Where should mask(s) be delivered?
I want this delivered to my child at Kipps.
I will pick this up at Kipps during the allotted delivery time (following all safety rules). I am signed up for Kipps PTO remind text messages, PTO listserv, will check the Kipps PTO website or facebook page for the delivery info.
I will make other arrangements by emailing
Sign up for Remind Text Messages from the Kipps PTO!
Expect 2 messages/month. More info about how Remind works can be found here:
Opt-In Text Messages through Remind: To sign up for PTO text reminders from your phone, text 81010 to:
Kindergarten - 1st grade - @k1kippspto
2nd grade - @2kippspto
3rd grade - @3kippspto
4th grade - @4kippspto
5th grade - @5kippspto
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service