Samaritans Feet 2017
Samaritans Feet 2017
It's back to school time! We want to give your child a new pair of shoes so they can be ready to achieve "excellence with every step!"
Please register below to ensure we have enough shoes and the correct sizes for everyone. Pre-registration is required and child must be present at time of pick up.
Parent Name  * 
Phone Number  * 
Child's Name  * 
Child's Gender  * 
Child's Date of Birth (mm/dd/yy)  * 
Child tennis shoe size  * 
Child 2 Name
Child 2 Gender
Child 2 Date of Birth
Child 2 tennis shoe size
Child 3 Name
Child 3 Gender
Child 3 Date of Birth
Child 3 tennis shoe size
Child 4 Name
Child 4 Gender
Child 4 Date of Birth
Child 4 tennis shoe size
Child 5 Name
Child 5 Gender
Child 5 Date of Birth
Child 5 tennis shoe size
The shoe distribution will be on Wednesday, August 9th, at 6:00pm at Bentonville Church of the Nazarene. We look forward to seeing you there. The child must be present at time of pick up.
For more information about Samaritan's Feet visit
Your Email Address  * 
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