Back to School Bash Registration Form
To be eligible for our Back to School Bash your child
MUST
be a student of Pea Ridge Schools.
Our Back to School Bash Event is
August 1, 2026
This form begins your registration process. You will receive an confirmation email with an appointment time to pick up your school supplies. Your child must accompany you to the appointment.
Please complete the entire form and make sure you list the grade your child will be entering in the 2026 school year.
The Back to School Bash will be held at the Pea Ridge Junior High School this year.
Parent Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
If you have more than 4 children please fill out an additional form.
Make sure the grade you enter for your child is for the grade they will be going into this school year.
A. Child's Name
First Name
Last Name
Child's Age
age
Grade
2026
Male/Female
Gender
B. Child's Name
First Name
Last Name
Child's Age
age
Grade
2026
Male/Female
Gender
C. Child's Name
First Name
Last Name
Child's Age
age
Grade
2026
Male/Female
Gender
D. Child's Name
First Name
Last Name
Child's Age
age
Grade
2026
Male/Female
Gender
Please acknowledge
*
I am aware that the Back to School Bash will be held at the Pea Ridge Junior High School this year.
Any questions or concerns?
Submit
Should be Empty: