Claire Miley Custom Pura Vida Bracelets
The custom bracelets are $10 each and payment goes into our GoFundMe (link at the end!).
Anything beyond bracelet price that you donate is a direct donation towards a nonprofit given to support Amos Woods and his assistance dog. (Learn more on our GoFundMe.)
Email address *
First and last name *
Grade *
Number of bracelets *
If you chose other (type amount below)
Amount spent on bracelets ($10 each) *
Photo of the Pura Vida Bracelet:
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Cannon School. Report Abuse