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Contact Information
Name
*
First Name
Last Name
Organization/Employer Name (if made on behalf of a company)
Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Donation Information
I would like to donate:
*
Quantity
$1,000
-
Mission Partner
0
1
2
3
4
5
6
7
8
9
10
10
$500
-
Mission Advocate
0
1
2
3
4
5
6
7
8
9
10
10
$250
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Mission Contributor
0
1
2
3
4
5
6
7
8
9
10
10
$100
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Mission Networker
0
1
2
3
4
5
6
7
8
9
10
10
$50
-
Mission Supporter
0
1
2
3
4
5
6
7
8
9
10
10
$25
-
Thankful
0
1
2
3
4
5
6
7
8
9
10
10
$12
-
Keepsake Ornament
0
1
2
3
4
5
6
7
8
9
10
10
$5
-
Custom Amount
0
1
2
3
4
5
6
7
8
9
10
10
I wish to designate my donation to:
*
select one
Where The Need Is Greatest
Annual Appeal
Best Seat in the House
Blessings in a Backpack
Disability Awareness Workshop (DAW)
Elementary Field Trips
Hometown Hustle 5K
Jessica Rogers Memorial Fund
Leslie Gouldey Memorial Fund
Mackenzie Hamilton Fund
Ornament Sales
Performing Arts Endowment
Ray Lawson Quality Improvement Fund
Scholarships
Sensory Room Project
Sip, Savor and Shop
Social Emotional Wellness
Special Ed Parent Advisory Committee (PAC)
Support A Project
Thank You RCS Employee
Please contribute my donation to the following scholarship:
*
select one
Dr. John M. Schultz Scholarship
Gage Garmo Memorial Scholarship
Grace and Rick Drummer Scholarship
Hayes Family Memorial Scholarship
John M. Schultz Scholarship
Laura Jermyn Scholarship
PTA Council Scholarship
Richard R. Robinson Memorial Scholarship
Robert “Bob” Hernandez Memorial Scholarship
RSPA Scholarship Fund
Sue Thomasson “Heart for Service” Scholarship
Trudy Karas Memorial Scholarship
Other
Please designate my 2019 Annual Appeal to support the following:
*
select one
Where The Need Is Greatest
Best Seat in the House
Blessings in a Backpack
Disability Awareness Workshop (DAW)
Elementary Field Trips
Hometown Hustle 5K
Jessica Rogers Memorial Fund
Leslie Gouldey Memorial Fund
Mackenzie Hamilton Fund
Ornament Sales
Performing Arts Endowment
Ray Lawson Quality Improvement Fund
Scholarships
Sensory Room Project
Sip, Savor and Shop
Social Emotional Wellness
Special Ed Parent Advisory Committee (PAC)
Support A Project
Thank You RCS Employee
Which school mascot ornament(s) would you like to purchase?
*
ACE
Adams High School
Baldwin Elementary
Brewster Elementary
Brooklands Elementary
Delta Kelly Elementary
Hamlin Elementary
Hampton Elementary
Hart Middle School
Hugger Elementary
Long Meadow Elementary
McGregor Elementary
Meadow Brook Elementary
Musson Elementary
North Hill Elementary
Pre-K Pandas
Reuther Middle School
Rochester High School
Stoney Creek High School
University Hills Elementary
Van Hoosen Middle School
West Middle School
I would love to support the following project:
*
AHS Link Crew
Brooklands Literacy Matters
Reuther Mindfulness Space
SCHS Link Crew
Social Emotional Wellness
University Hills Board Game Library
Elementary School (contributing to):
*
Please send my ornament(s) to the following RCS school or RCS building:
*
Sip, Savor and Shop
*
Choose One:
Vendor
Vendor and Helper(s)
Attendee
How Many Helpers:
*
Choose One:
One
Two
Three
Would you like to split your donation:
*
select one
Yes, please split my donation
No, please designate entire donation to the chosen fund
Additional Contribution:
*
Split Amount: (Please choose $ if amount is not listed)
$50
$40
$30
$20
$10
$
Additional Contribution:
*
Split Amount
Please designate the split contribution to:
*
select one
Best Seat in the House
Blessings in a Backpack
Disability Awareness Workshop (DAW)
Elementary Field Trips
Hometown Hustle 5K
Jessica Rogers Memorial Fund
Leslie Gouldey Memorial Fund
Mackenzie Hamilton Fund
Ornament Sales
Performing Arts Endowment
Ray Lawson Quality Improvement Fund
Scholarships
Sensory Room Project
Sip, Savor and Shop
Social Emotional Wellness
Special Ed Parent Advisory Committee (PAC)
Support A Project
Thank You RCS Employee
Where The Need Is Greatest
Please split my contribution to support:
*
select one
Dr. John M. Schultz Scholarship
Gage Garmo Memorial Scholarship
Grace and Rick Drummer Scholarship
Hayes Family Memorial Scholarship
John M. Schultz Scholarship
Laura Jermyn Scholarship
PTA Council Scholarship
Richard R. Robinson Memorial Scholarship
Robert “Bob” Hernandez Memorial Scholarship
RSPA Scholarship Fund
Sue Thomasson “Heart for Service” Scholarship
Trudy Karas Memorial Scholarship
Other
Additional comments about this donation
Thank You:
*
RCS Employee Name
School/Building of RCS Employee
*
Where would you like the gift delivered?
Please tell us what makes this employee so special:
*
This gift is a tribute?
*
No
Yes, In Honor of ...
Yes, In Memory of ...
This gift is in honor or memory of ...
*
Prefix
First Name
Last Name
Suffix
Note of Dedication
*
Please notify the following family member of my gift:
Prefix
First Name
Last Name
Suffix
Address of person to be notified
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Anonymous Gift:
I prefer to make this donation anonymously
(Optional) Add 3% to my total amount to help cover the payment processing fees
