PTG Dress Down Day SIGN-UP

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Number of students you are signing-up for Dress Down Day(s): REQUIRED
This allows you to sign-up 1 to 4 children & pay all at one time on-line!
Please fill out this field.
Student 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade level: REQUIRED Please fill out this field.
- NOTE: Amounts for the options are calculated to include the mandatory electronic processing fee of 3%.
- Dress Down Options - All Months or Select Months REQUIRED
  27.9 – Every month!
  3.1 – September 26 - Please select if child participated & payment is due.
  3.1 – October 24
  3.1 – November 21
  3.1 – December 19
  3.1 – January 16
  3.1 – February 27
  3.1 – March 26
  3.1 – April 23
  3.1 – May 21 Please fill out this field.
Student 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade level: REQUIRED Please fill out this field.
- NOTE: Amounts for the options are calculated to include the mandatory electronic processing fee of 3%.
- Dress Down Options - All Months or Select Months REQUIRED
  27.9 – Every month!
  3.1 – September 26 - Please select if child participated & payment is due.
  3.1 – October 24
  3.1 – November 21
  3.1 – December 19
  3.1 – January 16
  3.1 – February 27
  3.1 – March 26
  3.1 – April 23
  3.1 – May 21 Please fill out this field.
Student 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade level: REQUIRED Please fill out this field.
- NOTE: Amounts for the options are calculated to include the mandatory electronic processing fee of 3%.
- Dress Down Options - All Months or Select Months REQUIRED
  27.9 – Every month!
  3.1 – September 26 - Please select if child participated & payment is due.
  3.1 – October 24
  3.1 – November 21
  3.1 – December 19
  3.1 – January 16
  3.1 – February 27
  3.1 – March 26
  3.1 – April 23
  3.1 – May 21 Please fill out this field.
Student 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade level: REQUIRED Please fill out this field.
- NOTE: Amounts for the options are calculated to include the mandatory electronic processing fee of 3%.
- Dress Down Options - All Months or Select Months REQUIRED
  27.9 – Every month!
  3.1 – September 26 - Please select if child participated & payment is due.
  3.1 – October 24
  3.1 – November 21
  3.1 – December 19
  3.1 – January 16
  3.1 – February 27
  3.1 – March 26
  3.1 – April 23
  3.1 – May 21 Please fill out this field.

I agree to make all payments/fees & I understand refunds are not available (required to proceed to processing). Please select this field.