We offer the following example of a registration form to use as a base
for your school.
Feel free to change, delete, or add to anything that does not meet your needs.
Tuition Reduction Incentive Program
C----- C-------- SCHOOL
School Year 199x-200x
Please SIGN and return ENTIRE form with your first order each school year!
1. To be filled in by all who participate in T.R.I.P.:
(Last First MI)
City _________________ State ____ Zip _________ Telephone (__)_________
Family Number at CCS ________________ (if your child is enrolled at CCS in K-8)
Friends of CCS (no children enrolled in CCS) may direct their earnings to: (please check one)
[ ] Family of _________________________
[ ] General Tuition Assistance Fund
[ ] Mothers' Club Operating Fund
[ ] CCS Foundation
Would you like to keep your donation confidential? [ ] Yes [ ] No
|2. DISCLAIMER. Complete this part if your child is permitted to bring
your certificates home. Your child will receive only the envelope of certificates
ordered under your family number. Certificates will not be sent home with
your child if you do not include this signed DISCLAIMER with your first order.
I AUTHORIZE MOTHERS CLUB TO RELEASE MY T.R.I.P. GIFT CERTIFICATES TO MY CHILD. I WILL NOT HOLD C----- C------- SCHOOL OR THE MOTHERS CLUB RESPONSIBLE FOR ANY LOST OR MISPLACED CERTIFICATES.
Child's name: ___________________ Grade: _____ Teacher: ___________
3. FUTURE FAMILIES ONLY. Complete this part if first child is not yet enrolled at CCS in K-8.
Projected date of enrollment:__________________________________
Child's name: ______________________________
4. We have read, understand and will abide by the policies of the T.R.I.P. program.
________________________________________ Date ___/___/___
OFFICE USE ONLY GENERAL # _______ FUTURE FAMILY #_______
Courtsey of MANNAger Systems South Holland, Illinois USA
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