2026 Cutz & Kicks Student Registration
James Samaritan is thrilled to expand this back-to-school outreach in 2026 to serve in multiple parishes! We will offer TWO dates, and TWO locations for students and families to participate. See details below and register for your preferred date/location. If you are registering multiple students, you will need to complete a separate form for each participant. Reach out to Melissa Breedlove, with James Samaritan, if you have any questions regarding registration: melissa@jamessamaritan.org
Event Details
Select exact date, location, and prefered services
Which date and location would you like to register for?
*
Washington Parish - Held at Brushed Salon in Franklinton, on Wednesday, July 29th. Appointments will be booked noon - 6pm
St Tammany Parish - Held at H2O Salon and Industry Barber Shop in Mandeville, on Sunday August 2nd 10am-5pm
Select what services your student would like to receive:
*
New School Shoes
School Supplies
Haircut
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Student Information
Student Name
*
First Name
Last Name
School Attending
Grade Entering
Gender
*
Please Select
Male
Female
Race
*
Student's hair type/texture:
*
Straight
Curly
Ethnic/Textured
Haircut Appointment Details
Days/times are based on stylist preference, and are subject to change
Ansley
Ashley
Delaney
Erin
Cheyenne
Hailey
Mia
Any further information/details our stylists need to know about this student's hair or preferences for his/her haircut?
DCFS Details for this student
Caseworker Name
First Name
Last Name
Case Worker Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Caseworker Email Address
example@example.com
Specify Placement Type:
Traditional Foster Home
Biological Parent
Kinship Foster Home
Adopted
Group Home
Guardian Name
*
First Name
Last Name
Email Address
*
example@example.com
Cell Number (will receive text communication for event)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shoe Details
We try to meet requests provided, but occasionally may miss the mark for size/color/ect. Gift receipt will be provided if exchanges are necessary
Shoe Size
Youth/Adult Shoe size
Kids
youth
adult
Shoe Fastener Preference
Regular laces
Velcro
Preferred Shoe Color
Any other notes/preferences regarding shoes?
As far as we are able, we would like to meet listed requests, but we can not promise.
Appointment Time Requests:
We will work our hardest to accommodate your time request, but this is not 100% guaranteed. Exact appt time will be determined and communicated closer to the exact event date. Please arrive at least 10 minutes prior to your appt time.
H2O Salon (643 Lotus Drive, Mandeville) Sunday, August 2nd
Sunday, August 2nd @ H20 Salon :
10am
11am
12pm
1pm
The Industry Barber Co. (211 W. Causeway Approach, Mandeville) BOYS ONLY
Sunday, August 2nd @ The Industry Barber Co. :
2pm
3pm
4pm
5pm
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