Cap & Gown Order Form

Cap&GownOrderForm
LastName:
FirstName:
ID#:
EnglishTeacher:
1st PeriodTeacher:_
Cap,Gown,Tassel,Stole
$47.05
TasselOnly
$10.00
Tassel&StoleOnly
$22.00
TOTAL:
TASSEL&STOLEAREREQUIREDFORGRADUATION!!
Height:
Weight:
Color
Male–BurgundyGown/GoldStole
Female–GoldGown/BurgundyStole
PaymentInformation
CASH
CHECK#:_________________
MONEYORDER#:___________________
CREDITCARD(OnlineAuthCode):__________________
SCHOLARSHIP#_________________
THIS FORM IS DUE ON OR BEFORE 12/18/2015
PLEASESELECTFROMTHEITEMSBELOW.TURNINTHISSHEET,ALONGWITHYOUR
TOTALPAYMENTTOMs.AumaitreinRoom3323,beforeschool,duringlunch,and
afterschool. AllmoneyordersandchecksshouldbemadeouttoPaintBranchHigh
School.PleaseprintyournameandIDnumberonallchecksandmoneyorders.
YourName:
IDNumber:
PRICE
Placea nextto
theitemsyou
wishto purchase.
CAP&GOWN+TASSEL+STOLE
$47.05
TASSEL+STOLEONLY(requiredforgraduation)
$22.00
TASSELONLY(requiredforgraduation)
$10.00
SENIORDUES(MANDATORY)
$30.00
Duescovertheexpensesof: ThevenuebalanceofDAR,
Programs,Seniorbags,Floralarrangements,transportation
ForSecurity,BandandChorus.
IWOULDLIKETOSPONSORASTUDENT:
CAP&GOWN+TASSEL
$47.05
SENIORDUES
$30.00
CAP&GOWN+TASSEL&SENIORDUES
$77.05
$ TOTAL FUNDS
CASH
CHECK#
MONEYORDER#
CREDITCARDONLINERECEIPT#
*Please note that Paint Branch’s senior class has approximately 114 FARM studentswho willneed
fullorpartialfinancialassistancetopayforgraduation.Ifyouoracommunitymemberthatyouknow
of is willing to sponsora student with dues or fees, please let Ms. Aumaitre know. It isabsolutely
paramount tosupportthesestudentsandtheirfamiliesinreachingthisimportantmilestone.
Ifyouareafamilyinneedoffinancialassistance, pleasecontactyourchild’scounseloror
administratorassoonaspossible.Youmaycallorsendinawrittenmessage.
IfyouhaveanyquestionspleaseseeMs.EmilyAumaitreinroom3323,seniorclass
sponsor.
Class of 2016