CLIP Pledge Donation Form 2018-2019
Recommended Donation:
Kindergarten - 5th grade families: $425 per child
6th - 8th grade families: $200 per child

Please pledge the recommended amount for the 2018-2019 academic year. You can fulfill your pledge by paying the full amount.

Corporate matching dollars are considered an addition to the recommended donation.

Parent/Guardian
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Email Address *
The donation receipt will be sent to this email address.
Your answer
Child
First Name *
Your answer
Last Name *
Your answer
Grade *
Room *
Donation Amount *
Recommended Donation: $425 (Grades K to 5), $200 (Grades 6 to 8)
Your answer
Do you have another child in the CLIP program? *
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