Piney Grove Middle School Read-A-Thon Pledge Sheet
Student Name ________________________________ Grade ______ Grizzly Time Teacher____________________________
My DAILY Reading Goal is ____ minutes per day and my PERSONAL Goal is to ______________________________________
______________________________________________________________________from September 8-September 22, 2015.
FINAL RESULTS: I ended up reading a total of __________ minutes during the Read-A-Thon.
Sponsor’s
Name
Sponsor’s
Phone Number
FLAT
DONATION
AMOUNT
(Do not fill in next 2
boxes)
PLEDGE
PER MINUTE
TOTAL DUE
from pledge
(In cents)
(Total Minutes read X
Pledge Per Minute)
If given a
CHECK
write the
amount
here:
If given
CASH
write the
amount
here:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
TOTALS:
*Make Checks Out To: PGMS
-ALL PLEDGE SHEETS AND MONEY ARE DUE ON OR BEFORE SEPTEMBER 25th, 2015!
Paid
ONLINE
write the
amount here: