Family Financial Fun Night (DeltaSt 5.13.26)

Disclaimer: Information collected through this registration may be shared with the Department of Human Services for grant reporting purposes.

Family Financial Fun Night

Delta State University, Wyatt Gym

1003 W Sunflower Rd

Cleveland, MS

Food - Fun - Finance Games and Prizes!

This FREE hands-on event is for children in grades K-5th and their parents/guardians to learn about money, budgeting, saving, and more. Families will be directed through five Personal Finance activities led by industry experts.

This is an event that could change futures if families get an early grasp on Personal Financial Principles. Sign up today. Do not miss out!

NO PURCHASE NECESSARY: FOOD AND DRINKS WILL ALSO BE PROVIDED

Date - Wednesday, May 13, 2026. Please register by Friday, May 8, 2026 by noon.

Location- Wyatt Gym | 1003 W Sunflower Rd | Cleveland, MS

Time: 5:30 pm - 7:30pm | Dinner Served at 5:30pm

**Parents MUST accompany their K-5th grade children for the duration of the event.**

We look forward to seeing you as we gather together for a fun evening to learn about the importance of personal finance!

This program is funded by the MS Department of Human Services.

At least one adult must participate with their K-5th grade students for the whole program.*

I understand and agree to be present for the full event

A post program evaluation must be completed by my child and by the adult participating with the student. These evaluations will be available immediately after the program ends.*

I understand and agree that my child and the adult will complete the post-program evaluations.

I give permission for any photos taken at the event to be used to promote the success of the program and for use in the annual report to the funding organization*

I agree.

First Child's Name *

First Name (1st Child) Last Name (1st Child)

Date of Birth - First Child*

MonthDayYear

Last Four Digits of Social Security Number*

Does the first child receive SNAP benefits?*

YesNo

Does the first child receive free or reduced lunch?*

YesNo

Grade Level - 1st child*

School that 1st child attends *

Second Child's Name (if applicable)

First Name (2nd Child)Last Name (2nd Child)

Date of Birth - Second Child

MonthDayYear

Last Four Digits of Social Security Number - Second Child

Does the second child receive SNAP benefits?

YesNo

Does the second child receive free or reduced lunch?

YesNo

Grade Level - 2nd child

School that child attends- 2nd child

Third Child's Name (if applicable)

First Name (3rd Child)Last Name (3rd Child)

Date of Birth - Third Child

MonthDayYear

Last Four Digits of Social Security Number - Third Child

Does the third child receive SNAP benefits?

YesNo

Does the third child receive free or reduced lunch?

YesNo

Grade Level - 3rd child

School that child attends- 3rd child

Parent/Guardian Name (1st adult)*

First NameLast Name

Email Address for Parent/Guardian 1*

example@example.com

Date of Birth - Parent/Guardian 1*

MonthDayYear

Last Four Digits of Social Security Number - Parent/Guardian 1*

Does Parent 1 receive SNAP benefits?*

YesNo

Employment Status of Parent 1*

Full timePart-timeUnemployedOther

If Other, please specify Employment Status for Parent 1

Highest Grade Completed*

Parent's Address*

Street Address

Street Address Line 2

CityPostal / Zip CodeCountry

County of Residence*

Parent/Guardian Phone (will be used to text reminders)*

Area CodePhone Number

Parent/Guardian Name (if 2nd adult is attending)

First NameLast Name

Email Address for Parent/Guardian 2

example@example.com

Date of Birth - Parent/Guardian 2

MonthDayYear

Last Four Digits of Social Security Number -Parent/Guardian 2

Does Parent 2 receive SNAP benefits?

YesNo

Employment Status of Parent 2

Full timePart-timeUnemployedOther

If Other, please specify Employment Status for Parent 2

Highest Grade Completed

Parent's Address

Street Address

Street Address Line 2

CityPostal / Zip CodeCountry

County of Residence

Parent/Guardian Phone (will be used to text reminders)

Area CodePhone Number

Comments / Questions :

Family Financial Fun Night Registration Form