EP Birthday Shout Out Order Form
Wish your student a Happy Birthday on the digital marquee at El Portal.

Payment MUST be made for the birthday shout out to appear.  Make your $10 payment on MySchoolBucks or bring $10 cash to Mrs. Rickenbacker in the front office. Please complete the form and payment at least 1 week in advance.
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Student's First and Last Name *
Student's Birthday  *
MM
/
DD
Parent Name *
Parent Phone Number *
Order shout out on MySchoolBucks or bring in cash to the office.
How will you be paying for your shout out? *
I understand that the shout out needs to be paid for before it can be displayed. *
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