EmailMeForm
GHCA 2024 Bike-a-thon Online Pledge Form
Thank you for supporting our students for this year's Bike-a-thon being held on Saturday, May 18.
Questions?
Please email office@ghca.com or call 207-532-0736
Total Donation Amount
*
$25
$50
$100
$250
Other (enter amount below)
Other Amount
$
Dollars
.
Cents
Student(s)
Please list the name of student(s) you are pledging to. If more than one, please let us know the amount of your gift for each.
Student Name (1)
*
First
Last
Amount (1)
*
$
Dollars
.
Cents
Student Name (2)
First
Last
Amount (2)
$
Dollars
.
Cents
Student Name (3)
First
Last
Amount (3)
$
Dollars
.
Cents
Additional Students
If more than three, please continue to list them here:
Name
*
First
Last
Phone
*
###
-
###
-
####
Email
*
After submitting this form you will be given the opportunity to pay your pledge online. Thank you for your generosity!
