Exhibit

E 1321

Community Relations

Solicitation Of Funds From And By Students

SCHOOL CONNECTED ORGANIZATION

FUND-RAISER REPORT

Upon the conclusion of any solicitation of funds from and by students, this report will be completed by the sponsor and submitted within 30 days to the parents, students and Superintendent's designee.

NAME OF ORGANIZATION:_________________________________________________________

NAME/DESCRIPTION OF FUND-RAISER: _____________________________________________

DATE OF FUND-RAISER:__________________________________________________________

TOTAL INCOME RECEIVED:________________________________________________________

LESS COSTS INCURRED:__________________________________________________________

NET PROFIT:___________________________________________________________________

DEFINE HOW PROFIT WILL BE

USED:_________________________________________________________________________

SUBMITTED BY: ________________________________________________________________

_________________________________________

SIGNATURE

_________________________________________

NAME PRINTED

_________________________________________

TITLE

Exhibit PALOS VERDES PENINSULA UNIFIED SCHOOL DISTRICT

version: December 11, 2000 Palos Verdes Estates, California