2026 Project Backpack Registration Form

Project Backpack Registration Form

Fill out the form carefully for registration. Only 1 backpack can be reserved per student. First come, first serve basis whiles supplies last. Student must be present to receive bag.
Guardian First Name
Guardian Last Name
Student (s) Full Name. List one per line
Please list all Students Receiving Backpack.
School Attending
School Name
Guardian's Birth Date

MonthDayYear
Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian E-mail
example@example.com
Guardian Mobile Number
Format: (000) 000-0000.
Backpacks Needed
1 per student. Max of 5 per family
Should be Empty: