Carpool Shout Out

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- Booster Club

Carpool Shout out

Give your student a Carpool Shout Out on their birthday! Your personalized message will be featured on the board in our gym parking lot. Each shout out is $25 and proceeds go towards supporting the Booster Club. Please email [email protected] for questions. Shout out requests may be submitted using the form below and must be made at least three days prior to the shout out. Payment may be made below, or via Venmo to @corpuschristiboosterclub
Shout Out Request form
The maximum number of form submissions has been reached. This form is currently not available.
- Contact Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Shout Out Request REQUIRED
  Multiple requests may be made via one form. Please use the drop down to indicate the total shout outs requested.
  Please fill out this field.
  
  Shout Out Request 1
  
  Name of Child REQUIRED Please fill out this field. Please enter valid data.
  
  Message (ex: Happy Birthday!) REQUIRED Please fill out this field.
  
  Date Requested REQUIRED Please fill out this field. Please enter a date.
  
  Shout Out25.0
  
  Shout Out Request 2
  
  Name of Child REQUIRED Please fill out this field. Please enter valid data.
  
  Message (ex: Happy Birthday!) REQUIRED Please fill out this field.
  
  Date Requested REQUIRED Please fill out this field. Please enter a date.
  
  Shout Out25.0
  
  Shout Out Request 3
  
  Name of Child REQUIRED Please fill out this field. Please enter valid data.
  
  Message (ex: Happy Birthday!) REQUIRED Please fill out this field.
  
  Date Requested REQUIRED Please fill out this field. Please enter a date.
  
  Shout Out25.0
  
  Shout Out Request 4
  
  Name of Child REQUIRED Please fill out this field. Please enter valid data.
  
  Message (ex: Happy Birthday!) REQUIRED Please fill out this field.
  
  Date Requested REQUIRED Please fill out this field. Please enter a date.
  
  Shout Out25.0
  
  Shout Out Request 5
  
  Name of Child REQUIRED Please fill out this field. Please enter valid data.
  
  Message (ex: Happy Birthday!) REQUIRED Please fill out this field.
  
  Date Requested REQUIRED Please fill out this field. Please enter a date.
  
  Shout Out25.0
  
  Shout Out Request 6
  
  Name of Child REQUIRED Please fill out this field. Please enter valid data.
  
  Message (ex: Happy Birthday!) REQUIRED Please fill out this field.
  
  Date Requested REQUIRED Please fill out this field. Please enter a date.
  
  Shout Out25.0
- Choose Your Payment Option REQUIRED Venmo to @corpuschristiboosterclub Online Form - Payment on Next Screen Please fill out this field.
- I understand that I will be contacted by the Booster Club ONLY if the date requested is not available. Otherwise the shout out will be scheduled for the date listed on this form.
  I Agree Please select this field.
Total:

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