GRADUATION CAP AND GOWN ORDER FORM (please fill in all fields marked with a *) *STUDENT: __________________________________________________________________ *TELEPHONE: _________________________*EMAIL: _____________________________ FILLED IN BY STAFF: DATE PAID FOR GRADUATION CEREMONY: __________________________ AMOUNT RECEIVED: _____________________________ MONEY RECEIVED BY: _______________________________________(TEACHER’S SIGNATURE) ______________________________________________________________________________________________ PLEASE CIRCLE THE SIZE YOU REQUIRE FOR YOUR GOWN: YOUR HEIGHT GOWN SIZE (CIRCLE NEATLY) 4’6” -4’8” 39 4’9” -4’11” 42 5’0” -5’2” 45 5’3” – 5’5” 48 5’6” – 5’8” 51 5’9” – 5’11” 54 6’0” -6’2” 57 6’3” -6’5” 60 6’6” – 6’8” 63 6’9” – 6’11” 66 Please give this section to student once graduation fee has been paid. *STUDENT: ___________________________________________________ MONEY RECEIVED BY: _______________________________________(TEACHER’S SIGNATURE) DATE: __________________________________________________ This is your receipt! Do not lose it! Take a picture and save it!