Back To School Bash Registration

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If you are interested in food, fun, and freebies, consider signing up below for the Back to School Bash at Broad Street Church of Christ. It will be hosted at 408 Broad Street on July 31 from 5 PM to 7 PM. If you would like your children to receive the free backpack and school supplies, fill out information for any and all children below. *Child must be present to receive gift*
Guardian Information

 
 
 
 
 
Child 1 Information

 
 
 
 
 
Child 2 Information

 
 
 
 
 
Child 3 Information

 
 
 
 
 
Child 4 Information

 
 
 
 
 
Child 5 Information

 
 
 
 
 
If you are signing up more than 5 children, please fill out this form again.

Description

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