Back-to-School Supply Request

2026 9TH ANNUAL BACK-TO-SCHOOL COMMUNITY DAY
Parent or Guardian Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Child/Children Name(s)
If More Than One Child, Separate By Comma ","
Number of Children
School(s)
Grade Level(s) of Student(s)

Other
I hereby grant permission for my child to be photographed or recorded during the event. These materials may be used for promotional purposes by the school or event organizers.
I acknowledge and accept the risks associated with bounce house participation during the event. I release the organizers from liability for any injury.
Signature
Should be Empty:

2026 9TH ANNUAL BACK-TO-SCHOOL COMMUNITY DAY