Rox-THON Flocking Form
Flocking is where you donate and we put a flock of flamingos on your friend's lawn. All efforts support Rox-THON's fight against pediatric cancer at Roxbury High School. Donations go to Goryeb Children's Hospital (Morristown, NJ), while a portion of the proceeds will go toward pediatric cancer research and medical bills through Four Diamonds. Requests are first come, first serve and are weather dependent (we will pause once the ground freezes and resume in spring). Your donation can be sent to Roxbury High School, Attn: Mike Gottfried 1 Bryant Dr. Succasunna, NJ 07876. Checks made payable to "RHS Rox-THON". Unless you upgraded to a specific date, we will flock in the order we receive them.
You've Been Flocked!
Your email and/or phone #
In case we need to contact you or update you on your order
Name of friend to be Flocked
Note: Flocks aren't allowed on public property or apartment complexes (houses and yards only), but we can flock classrooms/offices within Roxbury Public Schools.
Friend's email and/or phone #
In case we need to coordinate a pick up
How many flamingoes do you want on their lawn?
Small flock (10 flamingos) $15
Medium flock (30 flamingos) $25
Large flock (50 flamingos) $35
Do you want them to know it was you?
Yes, tell them
No, keep it a anonymous
Specific Date request ($15 extra)
You may request to have a flock placed on a specific date
Special Instructions or general notes?
Who we should say it's from, ideal times, things to be aware of (dogs, cameras), etc.
Never submit passwords through Google Forms.
This form was created inside of Roxbury Public Schools.