Pickens Academy Fund Raising Request Form

The ___________________________________________ (organization) is
requesting permission to sell and/or hold  a (description of fund raiser)

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On (date or dates)

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(Signature of Organization’s Sponsor)                                         (Date)

This request is (   ) approved (   ) disapproved by the Student Council.

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 (Student Council Sponsor)

This request is (   ) approved   (    ) disapproved by Administration.

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 (Administration)