Backpack and School Supply Giveaway Nomination
Nominate a student to receive a free backpack and school supplies for the upcoming school year.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Relationship to the Nominee
*
Please Select
Parent/Guardian
Teacher/School Staff
Family Member
Friend
Other
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee's Full Name
*
First Name
Last Name
Nominee's Age
*
Nominee's Grade (for the upcoming school year)
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Why are you nominating this student for the backpack and school supply giveaway?
*
Pickup Location
Boots Etc, Gonzales, LA
The Horseman's Store, Orange, TX
Submit Nomination
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