Bronco Heartship Fund

The Bronco Heartship Fund will be given to band students who need a little extra assistance with their band experience.  Please note that funds are not guaranteed and you must fill out a form to be considered. If you do not fill out this form and do not pay your band fees, your child will be billed on their school account.  This fund cannot be used to pay for chocolate bars that have not been returned or paid for.

Parent’s First and Last Name:  _______________________________

Student’s First and Last Name: _______________________________

Grade:  ______ Contact Phone Number:  ________________

Contact Email: ___________________________ Date:  ________

What fundraising efforts have you made to raise funds for band this year?

___________________________________________________________

What volunteer efforts has your family contributed towards band this year?

___________________________________________________________

What are you able to contribute? $ ____________

Request payment for:  _________________________________

(name of item or event)

Cost of item or event:  $_________

Amount of funds you are requesting:  $__________

You can complete this form via the coopersvillebands.org webpage, print off a copy from coopersvillebands.org webpage or have your student get a form from the band room. Once filled out, please submit via web or place in a sealed envelope with your name and Band Boosters Scholarship on the front and place in the band’s drop box

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Committee Member Approval Signature:  ______________________

Amount Given:  ____________ Date:  ______________

For more information, please contact the Band Booster President at president@coopersvillebands.org.