Physical Education Financial Aide Form

Student Name (please print neatly): __________________________________________

Name of PE Teacher : ______________________________

PE period:

Student ID #: ______________

_______________

Grade: _____________

Parent / Guardian Name (please print neatly): _________________________________________________________

Home phone #: ________________________________

Cell phone #: _______________________________________

E-mail address: _________________________________

I, __________________________, parent / guardian of ________________________________, agree to make make every effort

to work out payment arrangements with the school bookkeeper until my balance is paid in full. If I cannot make payments
due to financial obligations, I will contact my students PE teacher and let he / she know.

Parent Signature: __________________________________

Counselor Signature: __________________________________

Womens Coaches Office (Deal / Morgan / Verlanic): 971-6417 (ldeal@washoeschools.net; tmorgan@washoeschools.net; dverlanic@washoeschools.net )
Mens Coaches Office (Ehlen / Genung / Gregg) : 971-6416 (jehlen@washoeschools.net; tgregg@washoeschools.net; jgenung@washoeschools.net )

School Finance Office: (Christine Molder): 971-6505 ( cmolder@washoeschools.net )

Please circle financial needs at this time:

PE shirt only ($10)

PE shorts only ($10)

PE shirt and shorts ($20)

PE lock ($5)

PE clothes and PE lock ($25)