Shopping Certificate Disclaimer

Routing Information

This form must be completed before the release of certificates.

I will pick up my certificates at the school office.

I authorized St. Walter's PSO to release certificates to my children.

Student Name:

Room #:

I will not hold St. Walter School or the SWS PSO responsible for any lost or stolen certificates. I understand these certificates are the same as cash, and their will be no recourse if my order envelope is misplaced.

Directing Your Earnings

Please apply my credit to our family’s tuition account

Please apply my credit to the St. Walter School Endowment Fund.

Parent Signature:

Date: