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Marquee Shout-out

Make your child's birthday extra special with a personalized shout-out on our beautiful new Canyon Rim Digital Marquee in front of the school! Fill out the online order form to pre-order a message for this child. All parents will be emailed a google link to a form where you will enter the shout out message - once payment has been confirmed. All messages are limited to 30 characters and must be approved by the principal prior to posting on our marquee. Shout-outs will run for the week of the student's birthday or the week before or after if the birthday falls on a school holiday. We need a 2-week lead time for all digital marquee reservations. (Example: shout out for the week of Nov. 20-26 should be requested before Nov. 6th) Cost: $25 per student Questions? Email crmarquee@gmail.com
Parent/Guardian #1 Email Address: *
Parent/Guardian #1: *

First

Last
Parent/Guardian #1 - Phone: *
Student #1 Information

The next questions will be regarding the Canyon Rim students in your family. Please fill out the info for one child and then fill out the info for additional children if applicable. All children in your family attending Canyon Rim should be entered on this form.
Student #1 - Name: *

First

Last
Student #1 - Birthdate (mm/dd/yyyy): *

If you are selecting the Birthday Book Club for this student please enter the MONTH, DAY and YEAR of their birthdate.
Student #1 - Teacher: *

TK - Hendrickson TK - Coulter K - Beusan K - Ricupito K/1 - Keith 1 - Webb 1/2 - Berg 2 - Huntley 2/3 - Stephens 3 - Henderson 3 - Clasen 4 - De La Cruz 4 - Kim 5 - Davidson 5 - Guttenplan 5/6 - Wright 6 - Nevin 6 - Chanin Please select the teacher for Student #1. Teachers are sorted by grade level. Make sure you select the correct teacher or your student will not be linked to the correct class.
Student #1 - Digital Marquee Shout Out - $25 *

Yes, I would like to order a marquee shout out
Do you have additional Canyon Rim students to register? *

Yes No
Student #2 Information

Please fill in the information for the second Canyon Rim student in your family. If there are no additional students you may skip.
Student #2 - Name:

First

Last
Student #2 - Birthdate (mm/dd/yyyy):

If you are selecting the Birthday Book Club for this student please enter the MONTH, DAY and YEAR of their birthdate.
Student #2 - Teacher:

TK - Hendrickson TK - Coulter K - Beusan K - Ricupito K/1 - Keith 1 - Webb 1/2 - Berg 2 - Huntley 2/3 - Stephens 3 - Henderson 3 - Clasen 4 - De La Cruz 4 - Kim 5 - Davidson 5 - Guttenplan 5/6 - Wright 6 - Nevin 6 - Chanin Please select the teacher for Student #1. Teachers are sorted by grade level. Make sure you select the correct teacher or your student will not be linked to the correct class.
Student #2 - Digital Marquee Shout Out - $25

Yes, I'd like to order a marquee shout-out for this student No, thank you
Do you have a third Canyon Rim student to register?

Yes No
Student #3 Information

Please fill in the information for the third Canyon Rim student in your family. If there are no additional students you may skip.
Student #3 - Name:

First

Last
Student #3 - Birthdate (mm/dd/yyyy):

If you are selecting the Birthday Book Club for this student please enter the MONTH, DAY and YEAR of their birthdate.
Student #3 - Teacher:

TK - Hendrickson TK - Coulter K - Beusan K - Ricupito K/1 - Keith 1 - Webb 1/2 - Berg 2 - Huntley 2/3 - Stephens 3 - Henderson 3 - Clasen 4 - De La Cruz 4 - Kim 5 - Davidson 5 - Guttenplan 5/6 - Wright 6 - Nevin 6 - Chanin Please select the teacher for Student #1. Teachers are sorted by grade level. Make sure you select the correct teacher or your student will not be linked to the correct class.
Student #3 - Digital Marquee Shout Out - $25

Yes, I'd like to order a marquee shout-out for this student No, thank you
Do you have a fourth Canyon Rim student to register?

Yes No
Student #4 Information

Please fill in the information for the fourth Canyon Rim student in your family. If there are no additional students you may skip. If you have more than four students at Canyon Rim please Email crmarquee@gmail.com
Student #4 - Name:

First

Last
Student #4 - Birthdate (mm/dd/yyyy):

If you are selecting the Birthday Book Club for this student please enter the MONTH, DAY and YEAR of their birthdate.
Student #4 - Teacher:

TK - Hendrickson TK - Coulter K - Beusan K - Ricupito K/1 - Keith 1 - Webb 1/2 - Berg 2 - Huntley 2/3 - Stephens 3 - Henderson 3 - Clasen 4 - De La Cruz 4 - Kim 5 - Davidson 5 - Guttenplan 5/6 - Wright 6 - Nevin 6 - Chanin Please select the teacher for Student #1. Teachers are sorted by grade level. Make sure you select the correct teacher or your student will not be linked to the correct class.
Student #4 - Digital Marquee Shout Out - $25

Yes, I'd like to order a marquee shout-out for this student No, thank you
Digital Marquee Shoutout Summary

Please select the # of students you are signing up for a Digital Marquee Shoutout so that the donation will be added to your total.
Total Digital Marquee Shoutout *

No Shoutouts - $0.00 1 Student - $25.00 2 Students - $50.00 3 Students - $75.00 4 Students - $100.00
Final Submission - Total and Payment

Thank you for completing this form and supporting the Canyon Rim PTA and the many fabulous programs it brings to our students each year! Please click "submit" below to be directed to Paypal for payment.
Total

$ 0

Marquee Shout-out

Student #1 Information

Student #2 Information

Student #3 Information

Student #4 Information

Digital Marquee Shoutout Summary

Final Submission - Total and Payment