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