Back to School Drive Registration

Back to School Drive Registration

Register your children and provide their age and grade to participate.
AIDS HEALTHCARE FOUNDATION

700 SE 3RD AVE FORT LAUDERDALE, FL 33316

JULY 11, 2026

8 AM - 12:30 PM
Household Information
Parent/Guardian Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Zip Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Children
Student Registration
Placeholder: Edit this instructions text in the builder.
Children must be present to receive supplies.

Los niños/as deberan estar presentes para recibir los materiales.

Timoun nan dwe prezan pou resevwa valiz lekol la.
Children Information
Should be Empty:

Household Information