I Heart Kolter 2022 | Kolter PTO | Monthly

Personal Info

First Name *

Last Name

Company Name

Email Address *

I am a: * Parent / Family Member of Kolter Student Teacher / Staff Member Alumni Family Friend of Kolter Student / Teacher / Staff Community Member Business / Corporate Sponsor Other

IMPORTANT: Please be sure to fill out this information. Any contribution labeled with your child(ren)’s name(s) will be credited to him/her and will count toward classroom and school-wide incentives. For example, extra recess and pizza and popsicle parties!

Number of children attending Kolter:

Child 1 First Name

Last Name

Homeroom Teacher

Child 2 First Name

Last Name

Homeroom Teacher

Child 3 First Name

Last Name

Homeroom Teacher

Child 4 First Name

Last Name

Homeroom Teacher

Yard Sign Personalization (ONLY If donation is $150 or more)

Please enter text for yard sign

Shirt Sizes (ONLY If donation is $250 or more)

Child 1

Child 2

Child 3

Child 4

Company Gift Matching

Company gift matching My company offers gift matching

Gift matching details

I'd like to cover the credit card processing fees so 100% of my donation benefits Kolter Elementary. The fees are 1.99% + $0.49 per transaction.

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Donation Total: $1.00 Monthly for 10 months