2017-18 Synapse Annual Fund Pledge Form
The Annual Fund that fuels the engine of our school represents the largest source of non-tuition revenue for the school and is the backbone of our fundraising efforts. It provides funds that sustain our exceptional program - from teacher salaries to financial assistance, supplies for classrooms to sports transportation. These tax-deductible gifts help our students as soon as they are received.

This year, we ask each family to give to help us reach our goal of 100% participation and $605,000 in total contributions. If possible, we ask each family to provide a gift of $2,500 (or more) for each Synapse student in their family, to help us reach this goal. We ask that you make pledges of contributions as early as you can, by October, 31, 2017. Payment can be made now or subsequently by March 31, 2018.

Thank you for your generous support of our school!

Email address *
Name of Parent(s) *
Your answer
Name of Student(s) *
Your answer
Phone *
Your answer
Address *
Your answer
One-time Gift Pledge:
Other pledge amount:
Your answer
How would you like to complete payment? (Detailed instructions will follow.) *
Let us know if you there are any notes regarding the payment or if you have any questions?
Your answer
A copy of your responses will be emailed to the address you provided.
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