Language
English (US)
Amharic
Afrikaans
Arabic
Chinese
Español
Filipino
Hindi
Korean
Lao
Somali
Swahili
Urdu
Vietnamese
Backpack Registration Form
Please fill out the following registration form so that we are able to serve you better and faster at this year's event. You must have this form completed before you will be able to pick up any school supplies, food, or other resources. Remember, it is first come, first serve. Backpacks are limited. STUDENTS MUST BE PRESENT TO RECEIVE A BACKPACK, NO EXCEPTIONS.
Your Name
First Name
Last Name
Your E-mail Address
*
Zip Code
*
How many kids are you getting backpacks for?
*
Select
1
2
3
4
5
6
7
8
9
10
11
How are you related to the kids?
Parent or Guardian
Friend of the family or neighbor
Sibling
Aunt/Uncle/Cousin
Grandparent
Other
What grade are your kids in? Please list every child's grade (press the + button to add another child)
Would you like to sign up to receive emails from RBAC about programs and events?
Yes
No
By registering for the 2022 Back2School Bash, I acknowledge that I am giving RBAC permission to take and use photos of me for event promotion purposes.
*
I agree
Submit
Should be Empty: