Back to School Event Registration Form

Back to School Event Registration Form
Deadline: Sunday, July 11
Date: Monday, July 12
Time: 1:30 - 4:30pm
Location: ABC Center (111111 3st Ave NE, ALine, LA 99999)
Rules & Requirements
1. Social distancing rules will be applied.
2. Students must be under grade 12. Collage students cannot register for this event.
3. To register the event, this form should be filled by parent/guardian and submit before the deadline.
Parent/Guardian's Name
First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Student(s) Information
Additional Notes
Should be Empty: