Back-to-School Pants Giveaway Nomination
Nominate children to receive pants for the upcoming school year. Please provide accurate information for each child.
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.
Relationship to the child(ren)
*
Please Select
Parent/Guardian
Teacher/School Staff
Community Member
Other
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
Children to Nominate
*
School grade attending
*
Reason for nomination
*
Pickup location
*
BOOTS ETC, Gonzales, LA
The Horseman's Store, Orange, TX
Submit Nomination
Should be Empty: