Thank you for supporting Laurelwood Elementary School's Direct Donation fundraiser for the 2017-2018 school year! To complete your donation, please fill out the form below. This site accepts payments via Check, Credit Card, or PayPal Account.

For each child, there are 3 donation levels to choose from:

CONTRIBUTION LEVELS
		Gold Level: $150 and above/child Raffle prizes include: One winner of a $40 Amazon gift card One winner of a $40 Tech Museum gift card One winner to be named "Principal for a Day" "Wristband"
		Silver Level: $100/child (suggested minimum) Raffle prizes include: One winner of a $25 movie gift card One winner of a $25 Barnes & Noble gift card Four winners of a $5 Yogurtland gift card "Wristband"

		Bronze Level: Below $100/child "Wristband"

	Go to Direct Donation FAQ

The donations will be collected by PEER Foundation, a 501(c)(3) non-profit organization on behalf of Laurelwood Elementary School.

Enter Donation Information

* Indicates Response Required

Child 1:

First Name *

Last Name *

Grade/Teacher *

Contribution Level *

$ Amount *

Child 2:

First Name

Last Name

Grade/Teacher

Contribution Level

$ Amount

Child 3:

First Name

Last Name

Grade/Teacher

Contribution Level

$ Amount

Child 4:

First Name

Last Name

Grade/Teacher

Contribution Level

$ Amount

Total Contribution Amount:

$0.00

Enter Parent / Guardian Information

Guardian 1:

First Name *

Last Name *

Email Address *

Cell Phone *

(xxx-xxx-xxxx)

Guardian 2:

First Name

Last Name

Email Address

Cell Phone

(xxx-xxx-xxxx)

My employer has a company matching program: *

Company Name: *

Click here for more information and for a list of some of the corporations with matching programs.

Please Note:

The contribution levels / prizes are based on personal contributions only. They do not include corporate matching funds.

For PEER Use Only