Back-to-School Form

We will be providing school supplies based on the recommended lists provided by the School Board. Thank you.

1. Name *
1. Name
Phone *
Phone
Student's Date of Birth *
Student's Date of Birth
If you have no more children please skip to Question 11.
Student's Date of Birth
Student's Date of Birth
If you have no more children please skip to Question 11.
Student's Date of Birth
Student's Date of Birth
If you have no more children please skip to Question 11.
Student's Date of Birth
Student's Date of Birth
If you have no more children please skip to Question 11.
Student's Date of Birth
Student's Date of Birth
If you have no more children please skip to Question 11.
Student's Date of Birth
Student's Date of Birth
If you have no more children please skip to Question 11.
Student's Date of Birth
Student's Date of Birth
If you have no more children please skip to Question 11.
Student's Date of Birth
Student's Date of Birth
11. Pick-up Dates *
Please select your preferred pick-up date and time. Please note that we will try our best to assign you your preferred time slot, however it will be based on availability. We have the following times available: Thursday, August 31 - Evening (4:00 - 8:00 pm) is already full Friday, September 1 - Morning (8:15 am - 12:00 pm) is already full Friday, September 1 - Afternoon (12:00 - 4:00 pm) is already full Friday, September 1 - Evening (4:00 - 9:00 pm) is already full Saturday, September 2 -Afternoon (1:00 - 3:00 pm) is already full