Room Parent Fund - Reimbursement Request
Please use this form to request a reimbursement check from the McAlpine PTO for your $100 Room Parent Fund allowance.   NOTE: These PTO funds may NOT be used for the purchase of gift cards.  

Upon completion of this form, you must email the receipt(s) for which you are requesting to be reimbursed as PDF or image files to the McAlpine PTO Treasurer (mcalpineptotreasurer@gmail.com).

Please include your LAST NAME and "ROOM PARENT FUND" in the file name of your receipt(s) for faster processing.

Please do not submit receipts with personal items included!  Please keep track of your spending (total budget for each classroom is $100). Please turn in all reimbursement requests by June 9, 2023.

Every effort will be made to provide your reimbursement check within 2 weeks.  

Questions?  Email: mcalpineptotreasurer@gmail.com or contact Carla Jaynes (803-467-5634).  

Sign in to Google to save your progress. Learn more
Last Name: *
First Name: *
Phone Number: *
Email Address: *
Teacher's Last Name: *
Grade Level: *
Class Event/Activity: *
Subtotal: *
Do not include dollar sign. Enter 0.00 if subtotal is unknown/not applicable.
Shipping: *
Do not include dollar sign. Enter 0.00 if shipping is unknown/not applicable.
Tax: *
Do not include dollar sign. Enter 0.00 if tax  is unknown/not applicable.
TOTAL: *
Do not include dollar sign.
How would you like to receive your check? *
Home Address [OR] Child's Name/Grade/Teacher: *
Please include your home address if you are requesting your check to be mailed.  Please include your child's name and their grade & teacher if you are requesting your check to be sent home with your child.  
Email Receipt(s) to Treasurer: *
Please verify that you will email the receipt(s) for which you are requesting to be reimbursed to the PTO Treasurer (mcalpineptotreasurer@gmail.com) as PDF or image files, upon the submission of this form.  Please include your LAST NAME and "ROOM PARENT FUND" in the file name(s) of your receipt(s).
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms