Bearden High Schools Class of 2017 has started a campaign to build a new

outdoor classroom near the memorial garden. In order to meet this goal, the
Senior Committee is selling benches to honor a student, parent(s), alum,
teacher, volunteer, or staff member with a personalized nameplate to be placed
on a bench. The cost of each bench, including the nameplate, is $300.00, or
Nameplate Text: All forms are due by April 7th, 2017
Line 1: _____ In Honor of _____ In Memory of _____ In Celebration of _____
Donated by
(Line 1 is optional)

Line 2: (maximum of 22 characters)

(Example John & Jane Doe, The Doe Family)

Line 3: (maximum of 22 characters)

(Examples Class
____ Student of 2000, Retired
___Parent ___AlumTeacher, Friend of BHS,___Friend
___Teacher/Staff BHS Teacher)
of BHS ___Retired

Please fill out one form per bench or shared bench. All benches payable with
one transaction.

Contact information:(Information of person making the donation)

Name:
_______________________________________________________________________________________
_________________

Address:
_______________________________________________________________________________________
______________

City, State, Zip:

_______________________________________________________________________________________
______

Email: