Give $___________ Pledge $___________ in support of this school year.

Name/s (Please Print) ________________________________________________

Check all that apply:
Parent Parent of Alumna/ae Alumna Class of _______________

Grandparent Friend Faculty/Staff

Address: _______________________________________________________

Zip: _________________ Phone:____________________________________

Email: _________________________________________________________
Check enclosed (Please make check payable to Hillcrest Academy)

Please charge my gift to my credit card: Visa MasterCard

Card Number: ________________________ Expiration Date: ____________

Signature: ___________________________

My/Our gift will be matched by ____________________________________

With this gift, I/we wish to become a member of the following Gift Club:

Leadership Circle ($1,000 and above)
Head of School's Circle ($600-999)
Honor Roll ($200-599)
Friends of the Huskies ($5-199)