School Registration Form

Backpack Registration
Backpack Bash
Additional documents for registration

Bring this registration form and the following documentation to the Backpack Spash.

• Current Proofs of Residence (ex. ID, power, water or gas bill)
Parent Information
Name

First NameLast Name
Ethnicity
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
Student Information (1)
Name

First NameLast Name
Gender
Grade
School
Student Information (2)
Name

First NameLast Name
Gender
Grade
School
Signature

Powered by Jotform SignClear
Notes
Should be Empty:

Notes