Success Beyond the Classroom

5575 W. Broad Street

Columbus, OH 43228

SBC Foundation Donation Form

Adopt an Athlete or Back a Band Member, Support a Student or Champion a Child

 $75  $100  $150  Other $

Donor Name:

Company Name:

Address:

City: State: Zip:

Phone: E-mail:

 Check enclosed – Please make checks payable to: Success Beyond the Classroom

Mail contribution(s) to: Success Beyond the Classroom

Rachelle Parsley, Treasurer
5575 West Broad Street
Columbus, Ohio 43228

The Success Beyond the Classroom Foundation was created to raise and award scholarship monies
to South-Western City School District students to help offset the cost of participation fees for athletics
and marching band. Participation fees for middle school ($75) and high school ($150) athletics and
marching band ($100) were instituted during the 2009-10 school year. The fees are applied to each
student, per activity, with a cap of $500 per family.

For more information, please visit www.successbeyondtheclassroom.org

Success Beyond the Classroom, Rachelle Parsley, Treasurer, 5575 W. Broad St., Columbus, OH 43228