Editing previous response:

Please fix the highlighted areas below before submitting.

Donate to PUC LCHS

Any donations received through this form will be used for field trips, curriculum, school supplies, and activities for staff morale.

Donation Amount*

Answer Required

$5.00

$10.00

$25.00

$50.00

$100.00

Other:

OPTIONAL: If you are donating on behalf of a student, please list their name here.

Answer Required

Contact Information

Please complete your contact information and a donation receipt will be sent to you upon receipt.

First Name*

Answer Required

Last Name*

Answer Required

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Phone

Number Required

Answer Required

Confirmation Email

Confirmation Email *

Email Required