Great 8 Registration Form

 GREA
T
Lanier 8th Grade
Great 8
2014-2015 Events
Class T-­‐Shirt Class Picture – Lanier 2015 Great 8 Dance Field Trip – all day special event Great 8 Breakfast & Awards Ceremony Total Amount Due: $80 Make Checks Payable to: Lanier PTO (mail to school or drop off payment in Office B in the PTO box) or Pay online at lanierpto.org Student Full Name (PRINT): ______________________________________________________________ GSG Teacher: ______________________ T Shirt Size: __________________ Address: _____________________________________________________________________________ City: ___________________________ Texas: _______________________ Zip: ________________ Parent’s Names: ___________________________________________________________ Parent Phone #: _________________________ Parent Email: __________________________________ Payment of $80 is due by January 31, 2015 FOR OFFICE USE ONLY Payment Method: Check Cash Full payment due by January 31, 2015 Amount Due: $80 Amount Paid: $___________ Received By _______________________________ Date Received _____________________________