An Akron Public Schools Family Engagement program fundraising event in partnership with Greenleaf Family Center Please acknowledge my/our contribution as: Name:_________________________________________________________________ COMPANY:______________________________________________________________ Address: ______________________________________________________________ City:________________________________ State: ________ Zip: _________________ Phone: ________________________________________________________________ E-Mail: ________________________________________________________________ signature: ________________________________________DATE:________________ Total amount enclosed (from reverse side): $____________ . 00 TO BE INCLUDED IN PROGRAM BOOK, PLEASE SEND CHECK BY SEPTEMBER 30. All RSVPs must be received by OcTOBER 15, payable to : GREENLEAF FAMILY CENTER, attn: stacy Thompson 580 grant street, akron, ohio 44311
Seating is limited. Should the event be sold out, please check here if you wish to be placed on a waiting list:
Number of Adults: ______ x $60 Meal options: 1 – Grilled chicken Marie 2 – Sirloin steak 3 – Citrus grilled cod
_($25 tax deductible)
4 – Vegetarian stuffed peppers 5 – Special need: _________________________
___________________________________________________ guest’s name MEAL # ___________________________________________________ guest’s name MEAL # ___________________________________________________ guest’s name MEAL # ___________________________________________________ guest’s name MEAL #
PLEASE SEAT US WITH: ___________________________________________________
Questions? Contact Carla Sibley, Akron Public Schools at 330.761.3297 Funds raised will support Akron Public Schools Family Engagement program and Greenleaf Family Center Teenage Parent Center, serving APS students. Greenleaf Family Center Tax ID #34-0714398. Please make a copy of this form for your records.