Birthday Bundle (Marquee and Book) Form

Resources

Your design and text selection will be entered in the form below. Click here to view a PDF version of the designs.

Student Name (First and Last) *
Student Grade Level (NOTE: The birthday book is only available to EEC to Junior High) *
Student's Homeroom Teacher *
Student Birthday (MM/DD/YYYY) *
Select the Preferred Marquee Design * (1 required)
Design #1 Design #2 Design #3 Design #4 Design #5
Select the Text to be Included on the Design Template * (1 required)
Happy Birthday Student Name (ex. Happy Birthday Student Name) Happy # Birthday Student Name (ex. Happy 16th Birthday Student Name)
Enter the # of years to be displayed in the birthday text (e.g., 9th birthday)
Preferred Start Date for Marquee (NOTE: Enter a week day only - it will run for at least 3 consecutive week days) *
Preferred Date for Book Club Presentation to Student (if the actual birth date falls on a weekend or during the summer) *
Parent Name (First and Last) *
Parent Phone Number *
Financial Acknowledgement *
I agree to be billed $40 via FACTS for the birthday bundle (marquee and birthday book). I will deliver $40 cash/check to a Campus Reception Desk - Attn: Suzi Cano
Enter Your Email Address: *