Back-to-School Bookbag Drive Registration (WOVA)

Back-to-School Bookbag Drive Registration (WOVA)

Please complete this registration form in full to receive a bookbag and school supplies. Supplies are limited and will be distributed based on registration. Each household must submit one form. You may register up to three (3) students per household. Students must be present at distribution.
Student Information
Student Full Name
School Name for 2026–2027 school year
Grade Level
Parent/Guardian Information
Parent/Guardian Full Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Additional Students
Do you have additional students?
Additional Student 1 Full Name
Additional Student 1 School Name for 2026–2027 school year
Additional Student 1 Grade Level
Additional Student 2 Full Name
Additional Student 2 School Name for 2026–2027 school year
Additional Student 2 Grade Level
How did you hear about us
Photo Consent
Do you give permission for WOVA to use photos/videos of your child(ren) on the WOVA website and promotional materials?
Date

MonthDayYear
Date
Should be Empty: