SCRIP Delivery Waiver Date
________________________________________________________
Name ________________________________________________________ I will be purchasing plastic SCRIP. I would prefer the following delivery method (check one)
_______
________
SEND HOME WITH STUDENT
Student Name ___________________________________________________________________________ Teacher
___________________________________________________________________________
HOLD FOR PICKUP AT FRONT OFFICE
I understand that I may change my delivery method at any time by sending an email to
[email protected].
Signature __________________________________________________ DATE _________________________ *** Your signature releases OLMC school and PTO from responsibility for SCRIP certificates in transit. QUESTIONS? Email
[email protected]
