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Birthday Lunch Celebrations!

Send in a donation to the PTA (amount of your choice) to reserve your date.
To guarantee you get the day you want, RESERVE YOUR DAY TODAY! Simply fill in the form
below, detach and send in the bottom portion with a donation of cash or check payable to
Amerman PTA. Please, submit one form for each student. Due to space limitations,
celebrations will be limited to one per lunch period (see times and grades for each lunch period
below). Summer birthdays feel free to pick a day and celebrate a ½ birthday. You will receive an
email confirmation about a week prior to your lunch date. If you have any questions, please
contact Darcy Rechtien at: OR 313/8207060
K, 1st, and 2nd grade Lunch is from 11:40am – 12:00pm
4th (General Ed) and 5th (All classes) grade Lunch is from 12:05pm – 12:25pm
3rd (All classes) and 4th (ALPS) Lunch is from 12:30pm – 12:50pm
Things to note:
● This opportunity is for lunch only, not recess.
● Please sign in at the office when you arrive.
● Only bring food for your child and the parent(s) joining your child.
● The table seats only 4.
● No decorations. The table is already decorated as a birthday table. Other
decorations cause a disruption to the lunch period.
Please detach and return. Donations can be made payable to Amerman PTA
Child's name: ___________________________________________
Desired date for birthday lunch: ____________________________
Phone number: ________________________________
Email address: _________________________________
Teacher name:_________________________________ Grade: _____________