Martin Luther King Back to School Supply 2026

Back to School Supply Registration Form 2026

Fill out the form carefully for registration
Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Click yes to receive text messages about events and health resources in your area. Support is available! By entering yes and providing your cell phone number above, you agree to receive health and wellness information from MLK Jr. Family Center and its partners.
Household Income (Gross)
Number of People in Household
Additional Information (Please slide left for additional questions)
Should be Empty:

Back to School Supply Registration Form 2026