Please join us for a Zumba Dance Fundraiser

In loving memory of

Conzuelo Phippen
Friday, October 4, 2013 7:00 p.m. 8:00 p.m. Skyblue Mesa Elementary MPR $10.00/person All are encouraged and welcome to come support the family and friends of Conzuelo Phippen Additional donations beyond the $10 admission fee are also greatly appreciated
Skyblue Mesa would like to extend our most heartfelt condolences for the loss of one of our school family members. Please take the time to come support this benefit. If you cannot attend the fundraiser itself, any donation is welcome. We as a community have the ability to raise funds for this wonderful family and show them our love and support during this most difficult time. There will also be an opportunity drawing (raffle) to show additional support: Zumba Sticks, Starbucks Gift Cards & Menchies Gift Cards. Bottled water will be available for purchase.

ZUMBA DANCE FUNDRAISER FOR CONZUELO PHIPPEN

Name: ________________________________ Phone: ________________________ Email: ___________________________________________ Additional donation: $___________
Number of Participants (16 or older): ___________ x $10.00 = TOTAL $_________________

Make checks payable to: Skyblue Mesa PTO ~ All participants must have a signed waiver to participate in this event ~
For Skyblue Mesa PTO Use Only

PAID: ______________ Check# ______________ Cash ________________ Initial ________________

Skyblue Mesa Parent Teacher Organization 28040 Hardesty Avenue, Canyon Country, CA 91351 Phone: (661) 294-5350 Email: skybluemesa_pto@yahoo.com