Opt Out Fundraiser Form

Opt Out Fundraiser Form
Participant Name
First NameLast Name
Participant ID or Student ID
Grade/Class
Email
example@example.com
Phone Number
Please enter a valid phone number.
Opt Out Option
I, the undersigned, wish to exercise the option to opt out of the fundraiser/event mentioned above. Instead, I choose to make a donation of $ Amount in support of my School or the cause for which the fundraiser is being conducted.
Donation
prevnext( X )
USDDescription
Credit Card Details
First Name Last Name
Credit Card Number
Security Code
Card Expiration
Acknowledgment and Agreement
I understand that by opting out of the fundraiser/event, I will not be participating in any associated activities, including those that may offer incentives or prizes. I acknowledge that my donation will be used to support the goals of my School or the specific cause for which the fundraiser is being conducted.
Date
MonthDayYear
Date
Signature
Clear
Should be Empty:

Opt Out Option