FirstRoxanne
LastBentley
Date02/07/2018
EmailEmail hidden; Javascript is required.
Phone(301) 593-6915
Address2406 Churchill Rd
Silver Spring, Maryland 20902
Map It
Make Check Payable toRoxanne Bentley
Amount$200.00
Attach Receipt(s)state-registration-receipts2018.docx
Mailing/Delivery Instructions

Whatever is easiest for you.

PurposeState competition registration for 2 teams
HSA Budget CategoryResource - Enrichment

Operating expenses must be approved by an HSA Co-President. Committee-related expenses (e.g. Auction, Green Scene) must be approved by the committee chair. Resource teacher expenses must be approved by the Principal.
All receipts and/or supporting documents must be uploaded with or attached to this form.

For HSA Treasurer Only
Status of approval:
  • Approved