Greater Works Church - BackPack Outreach 2018 (Registration)

BackPack Outreach 2018 (Registration)

Any information you provide is strictly for the sole use of Compassion Community Outreach and grant purposes. This information will not be shared with any third party entity.
How many children are you registering for a Backpack?	*
Enter the grade(s) of the child(ren) you are registering for a backpack. Note: All children must be in Kindergarten to 12th grade.
Proof of age required (birth certificate, school registration letter, school ID). ALL CHILDREN MUST BE PRESENT on the day of the event to receive a backpack.
Grade of 1st Child	*
Grade of 2nd Child.
Grade of 3rd Child.
Grade of 4th Child.
Grade of 5th Child
General Information:
How did you hear about Backpack Outreach?	*
How many people are in your household?	*
What is your average household income?	*
Enter Parent Information:
Parent’s Name (First and Last)	*
City	*
Would you like to be added to our Community Events email mailing list?	*
Your Email Address	*
Please type in the box to the right »	*