BACK 2 SCHOOL BASH REGISTRATION FORM

Parents your child must be present to receive supplies. In addition, you must provide identification of child(ren) by bringing their report card. 
***Registration will close on Wednesday, July 26, 2017 at 9:00pm***
​Limited spots available.
PHONE
COUNTY
EMAIL
How many kids requesting backpacks?
Child 1 First and Last Name and Grade Level (Elem. Middle. or High school)
Child 2 First and Last Name and Grade Level (Elem. Middle. or High school)
NAME
Child 3 First and Last Name and Grade Level (Elem. Middle. or High school)
Child 4 First and Last Name and Grade Level (Elem. Middle. or High school)
Submit