Student’s Name____________________ School Name___________________

Student’s Email_____________________ School City_____________________

Student’s Cell_______________________School State____________________

Charlotte Catholic
2008-2009
Please have sponsors pre-pay with checks to Invisible Children. Please put an asterisk (*) next to any
sponsor who wishes to have a tax receipt since all contributions are tax-deductible. Turn in forms and money to
Grant Heskamp, reachable at 704-962-6924, or Mrs. Burns in room 308. Please print legibly. Thank you for
your time and effort and remember it will not go unrewarded. You can receive TWO $20 dollar gift cards of
your choice and also a bracelet of your choice if you raise the most. Set a goal for yourself: $100$500, etc.
EVERYTHING IS DUE BY DEC.15.2008.

Area Phone Amount Total

Sponsor Name
Code Number Pledged Collected
John/Jane Doe (Example) [619] 562-2799 $50 $50
1
2
3
4
5
6
7
8
9
1
0
1
1
1
2
1
3
1
4
1
5
1
6
1
7
1
8
1
9
2
0
2
1
2
2
2
3
2
4
2
5
2
6
2
7
2
8
2
9
3
0
Total
Collected