LOCKER FORM

Attached is my check for the Locker Maintenance Fund.

Name of Student: _________________________________________

Grade: ______

Parent Name(s): __________________________________________

Checks may be made payable to The Muirlands Foundation.

Please return this form to the front office (you can send with your child),

or mail to: Muirlands Foundation, c/o Muirlands Middle School, 1056 Nautilus Street, La Jolla, CA 92037