Back to School Backpack Kit Registration

Back to School Backpack Kit Registration

Register your child to receive a free backpack kit. Limited to 216 kits, one per household, first come first served.
Parent/Guardian Full Name

First NameLast Name
Child's Full Name

First NameLast Name
Child's Grade Level (for upcoming school year)
Household Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty: