***Products may vary***

***Products may vary***

Instructions: Please fill out the form and hit submit.  Then Follow instructions to pay.

The Exam Care Packages will be delivered between December 3rd through December 7th, 2018. Please not any special dietary needs your student may have. You may also write a note or enclose a card of encouragement to your student. What a wonderful way to encourage your student during this stressful time!

Included in the Exam Lift Bucket:

Could be: Fruit Snacks and gum, crackers, candy bars and popcorn, peanuts, juice box, fresh fruit, cookies and more. And there is also a healthy option.

The Cost is $20 which goes toward the Lift Bucket. Any amount given exceeding $20 may be tax deductible.

If you have any questions feel free to give us a call at 706.864.6402. 


Student's Name *
Student's Name
Type *
Student's Cell Phone *
Student's Cell Phone
Parent/Guardian Name *
Parent/Guardian Name
Address *
Home Phone *
Home Phone

Please hit submit on the form then follow the Instructions to pay.