Donor Details

     Thank you for your support! Please send in this form along with your check.

     Prefix_(Mr., Mrs., Ms.)____________________

     First Name________________________________________

     Last Name________________________________________

     Address­­­­­­­­­­­­__________________________________________

                  __________________________________________

      Email___________________________________________

     Please select from the following options to let us know your affiliation with our school.

     Alumni       Current Parent     Parent of Alumni     Grandparent     Faculty     Friend

     Other          Parishioner          ROMG Chamber Member     Current Board Member         Staff           

      Please tell us which students you are related to.

      Student's Name & Grade (Ex: Sally Jones 3rd grade)

       __________________________________________________________________

       __________________________________________________________________

     Gift Details

     Whom do we thank? 

      ___________________________________________________________________

     Gift Amount $____________________