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Free Back Pack Give Away Registration

August 2, 2008

8am until 5pm or quantities last.

MANDATORY CHECKLIST:

Parent must bring the child.

Parent must bring state id.

Parent must bring a report card or birth certificate.

 

Please provide the following contact information:

 

               PARENTAL INFORMATION

Parent's First Name   *
Parent's Last Name   *
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
School Year
Work Phone
Home Phone
E-mail

          CHILD INFORMATION

First Name
Last Name
Child's Date of Birth
School Name

 

If you have more than one child you must register each child separately.  Print and bring your confirmation page with you to the event.

 


Solid Rock Christian Church
Copyright © 2003 [SRCC]. All rights reserved.
Revised: 07/26/08