SWSD 2013 Program Handbook November 2013 | Page 144

Exhibit C: EXAMPLE Southwest Suburban Dallas Chapter of Jack & Jill of America, Inc. Sign-In Sheet November Age-Group Activity (_________) – Sponsor: ______ [Date] 1. 2. _____ Member _______[Mom] ____________________________________ ____ Other Adult* ____________________________________ ____ Child: _______________ ____ Loose Change Donation (or other activity) Memb ??)????)????)}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}|)}}}}}}|? ?????????-???)?????)}}}}}}|?1???? ????????????()9?????????5?????????????????????????????????? ??????I?????????9???????()9???? ??????????????????e?????????????????????????????????????????????????????????(??M?????????????????????????????????? ?????5?????????????????????????????????????????e???????(????????????????????()???((???((0