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Student Name: ______________________ Teacher / Homeroom: __________________________

Thursday March 9th, 2017

CLIFFWOODS DANCE-A-THON
Name Address (please provide complete address if Amount
you would like a tax receipt for donations of $25,
if there is no address a donation receipt will not
be issued)

10

Donations by cash or cheque (payable to Cliffwood School Council)


Donations of $25 or more will receive a tax receipt.
PLEASE RETURN ENVELOPES WITH CASH / CHEQUES TO YOUR HOMEROOM TEACHER BY
TUESDAY MARCH 7th, 2017.

NOTE:

If you have more than one child attending Cliffwood Public School and will be submitting more
than one envelope, please indicate the name(s) and the homeroom teacher(s) of your other
child(ren) below. This will ensure that families that make a total donation of $25 or more will get
a tax receipt issued.

Name(s) ______________________ Homeroom teacher(s) _______________________

Name(s) ______________________ Homeroom teacher(s) _______________________