Enrollment Form

St. Marys Area High School—CHEERLEADERS Scrip Program

Program rules and guidelines

1) Each family will be provided a unique customer ID number. This number must appear on all orders you submit to ensure your purchases are accurately recorded.

2) All certificate orders must be accompanied by a check or money order made payable to ST. MARYS AREA HIGH SCHOOL CHEEREADERS. Please do not send cash. Scrip certificate payments are not tax deductible because you receive dollar for dollar value.

3) If your check is returned because of non-sufficient funds (NSF), you will be charged a $20 fee payable to ST. MARYS AREA HIGH SCHOOL CHEERLEADERS. After two NSF checks are tendered on your account, your scrip ordering privileges will be limited to money order only.

4) Once each quarter, ST. MARYS AREA HIGH SCHOOL CHEERLEADERS will provide a summary of each participating family’s purchases.

5) Scrip certificates are purchased on your behalf, and are not returnable.

6) When you pickup your scrip certificates, open your order and verify its accuracy. Your signature on the Weekly Order Pickup List indicates you have received your order in its entirety. In the unlikely event you should find a discrepancy in your scrip order, please contact the ST. MARYS AREA HIGH SCHOOL CHEERLEADERS Scrip Program coordinator within 7 days.

7) Scrip certificates are the same as cash, and should be handled accordingly. ST. MARYS AREA HIGH SCHOOL CHEERLEADERS will not be responsible for certificates that are lost, stolen or misplaced while in your possession.

8) You must sign a WAIVER OF RESPONSIBILITY form before certificates will be mailed to you or released with your child. These forms will be kept on file, and ST. MARYS AREA HIGH SCHOOL CHEERLEADERS accepts no responsibility for certificates delivered in this manner.

Yes! I’m ready to participate in the ST. MARYS AREA HIGH SCHOOL CHEERLEADERS Scrip Program

First Name	Last Name
Street Address
City	State	Zip
Phone

I have read and understand the policies and guidelines listed above, and I agree to abide by these policies

_____________________________________________ _______________________

Signature Date