Chameleon Pride Drive

Bronze	Silver	Gold	Platinum
1 PTA membership	2 PTA membership	2 PTA membership	2 PTA membership
1 PTA T-shirt	2 PTA T-shirts	2 PTA T-shirts	2 PTA T-shirts
		2 Car Stickers	2 Car Stickers
			1 CCFFN VIP FAST PASS
$100	$175	$250	$500

To make the donation online, Please fill in the information below

Student First Name *

Student Last Name *

Homeroom Teacher *

Select Grade *

Student 2 First Name

Last Name

Homeroom Teacher

Select Grade

Student 3 First Name

Last Name

Homeroom Teacher

Select Grade

Parent First & Last Name*

Email Address*

Address/City/State/Zip*

Parent 2 First & Last Name

Email Address

Address/City/State/Zip

Select Men's T-shirt Size (Only applicable to Silver, Gold & Platinum levels)

Select Women's T-shirt Size (Only applicable to Silver, Gold & Platinum levels)

Does your employer match donations?*

If Yes then enter Company Name

Download the Chameleon Pride Drive Form here to print and submit it at the front office

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