ACP Tile Sign Up Form

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ACP Tile Sign Up Form

Please complete one form per family.

Every order comes with two tiles. One tile will be displayed on ACP's Wall of Fame and the other will be sent home with your child. Additional tiles can be purchased.

Email *

Child's First and Last Name *

Child's Classroom *

Please select days of the week your child attends ACP. *

Tile Options: *

$100 - Individual Print

$100 - Individual Print (For a Sibling) - Please complete next section*

$100 - Sibling Print (Multiple prints on one tile) - Please complete next section*

Required

*For all Sibling tile options: Please enter sibling name(s) and classroom(s) below.

Additional Individual Print Tile(s): $25 each - (Please select quantity)

Additional Sibling Prints Tile(s): $25 each - (Please select quantity)

Confirmation

Please confirm order and correct spelling of child's name by entering your initials below.

Thank you for your continued support.

Payment *

Please use the QR code to make a secure CC/ACH payment to A Child's Place. Open the camera on your phone, view the code and click on the pop-up notification when it appears on your screen.

Volunteers (Experience is not required)

If you would like to volunteer to paint tiles, please enter your name and availability during the week.

This is a great way to meet and connect with other parents at the school.

A copy of your responses will be emailed to the address you provided.

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