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Register for
"Back to Backpacks"
Saturday, August 6, 2022
Your Name (First and Last)
Email
Phone
Are you a single parent?
YES
NO
How many people in your household?
How many school age children are you registering and their age(s):
Are you registering for (check one)
School Supplies Only
Groceries Only
Both
Choose your grocery items:
Long grain white rice
Refried Beans
Canned fruits
Canned corn
Canned green beans
Canned mix veggies
Chocolate cake mix w/frosting
Vanilla cake mix w/frosting
Ravioli
Spaghettio's
More Items
Applesauce
Canned Tuna
Instant oatmeal
Peanut butter
Strawberry Jelly
Grape Jelly
Fruit Loops cereal
Frosted Flakes cereal
Honey Nut Cheerios
How did you hear about us?
Register
