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Gift Of Love Foundation Child Enrollment Registration Form for Backpack Distribution
Please fill out the form accurately to help us provide backpacks to children. All information will be kept confidential. Gift of Love Foundation does not sell nonpublic personal information. Gift of Love Foundation does not disclose nonpublic personal information about registrants to non-affiliated third parties, except as described in this Privacy Notice or except as permitted or required by law.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Child's Grade
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
School Name
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Contact Number
*
Please enter a valid phone number.
Parent/Guardian Email Address
example@example.com
Any Special Needs or Considerations
Consent to Receive Backpack
*
I agree to participate in the distribution process.
I do not consent to participate.
I confirm that the information provided is accurate and I agree to the distribution terms.
*
I agree to the terms and conditions.
Submit Enrollment
Should be Empty: