B2S2022 Book Bag Registration

PLEASE READ THIS INFORMATION BEFORE YOU REGISTER!

1. Parents whose children attend K4-12 in York County, South Carolina are welcome to register for the book bags. This includes home-schooled children.

2. Book bags are available on a first-come, first-served basis. One book bag per child; 5 total book bags per order.

3. Registered parents will receive a confirmation email from us and can pick up book bags at the event on Saturday, August 6 at your requested time at the Rock Hill Galleria. You will receive an email that gives you the pick-up location inside the mall. Please note that all book bags must be claimed by 1:30pm; if you need to change your pick-up time, please let us know. Unclaimed book bags will be distributed at our discretion.

4. There is NO same-day registration.

5. Unclaimed book bags will be distributed at our discretion through approved Community Partners.

Parent/Guardian Name *

First Name Last Name

Parent/Guardian Date of Birth *

Date

Email Address *

example@example.com

Home Address *

City & Zip Code *

State *

Parent/Guardian Phone *

Area Code Phone Number

Your relationship to the student(s) *

Parent/Step-parent Legal Guardian Grandparent Older Sibling (age 18+) Family Friend

For how many children are you requesting book bags? *

One Two Three Four Five

In which school district(s) does your student(s) attend? *

Rock Hill School District Fort Mill School District York School District Clover School District My child is homeschooled

Name of Schools: *

How will you be arriving at the event?

By personal vehicle By MyRide Bus

Please select the number of book bags you are requesting.

One book bag per child. A maximum of 5 book bags will be confirmed.

Preschool Book Bags

Kindergarten - K5 Book Bags

Elementary School

Middle School

High School

Please select your book bag pick-up time here:

By submitting this form, you agree to the following statements: *

I understand that while attending the Back2School Block Party, I am required to follow all COVID-19 safety guidelines as indicated by AccelerateSC, SC DHEC and the Centers for Disease Control. If you are feeling unwell, have a temperature of 100+, please do not attend. I understand that if I reserve book bag(s) but fail to pick the items up by 1:30pm EST on Saturday, August 6, 2022 , those items will be re-distributed. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS The Heart2Heart Foundation; its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to anyone attending the event with me involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. by entering events held by The Heart2Heart Foundation, I understand and agree that my photograph or image may be taken in any public place. Photographs and videos taken during the event may be used for marketing and promotional purposes by The Heart2Heart Foundation and it's event partners. By submitting this form, I understand my email address will be added to The Heart2Heart Foundation's database and may be shared with event partners. I understand that I can unsubscribe for any list and that The Heart2Heart Foundation does not sell, barter or rent email lists to any third party.

Signature (please use mouse to sign name in block)

Clear

Please verify that you are human *

Reserve your child's FREE book bag(s) here!