Date: __________________________

Family Name:  __________________________________________       

Phone:  _______________________

Email Address: ______________________________________

1. TIME COMMITMENT: (20 hours)

Area of interest (circle at least one):

Bingo   Library     Lunch Duty    Fundraisers    Vouchers

Basket Donation (5 hours)

Other (please elaborate):  __________________________________________________________

By signing below, I do agree to commit 20 hours to the areas circled above. If I chose “Other”, I do understand that my hours are subject to approval by the Fundraising Committee and/or the principal. I understand that I must still sell 20 raffle tickets.

Parent/Guardian Signature: __________________________________________________________

2. BUY-OUT:

I cannot commit 20 volunteer hours, and therefore, do hereby agree to pay the sum of $200 to St. John Neumann Regional Academy on or before September 30, 2007. In addition, I understand that I must also sell 20 raffle tickets at $5.00 each.


Parent/Guardian Signature: __________________________________________________________