Free School Supplies Form

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Please provide your email to be updated if we have extra supplies to give out.
example@example.com
Student Name

First NameLast Name
Student's Current School
School Grade
Student Date of Birth

MonthDayYear
Parent Name

First NameLast Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you give us permission to take photos of your student for the sake of our website and social media?
Would you like your email to be added to our monthly newsletter?
Do you have a student age 12-16 that would be interested in competing in Esports?
This event will be held on August 10th, 2024 at 10AM, concluding at 1PM.

Lunch will be provided!

The location is 10521 Blue Ridge Blvd, Kansas City, MO 64134.

Please keep in mind that this is a first come, first serve event, and we may run out of supplies towards the end of the event.
Should be Empty:

ATTENTION