Back to School Giveaway

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The Social and Community Development Committee is sponsoring a school giveaway drawning. Please complete this form ONCE per child to be entered in the drawing.

Date(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Name(Required)

Child's First Name Child's Last Name

Grade(Required)

School of Attendance(Required)

Back to School Giveaway

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