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Operation Backpack Registration
Family Last Name *
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First and Last Name of Child/Children *
You can enter all your children here. Please hit return/enter after each name.
Your answer
Age of Child/Children *
You can enter all your children's ages here. Please hit return/enter after each age.
Your answer
Gender of child/children *
You can enter all your children's gender here. Please hit return/enter after each age.
Your answer
Grade of Child/Children *
You can enter all your children's grades here. Please hit return/enter after each grade.
Your answer
How did you hear about this outreach? *
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Address *
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Phone number *
You can enter more than one phone number here. Pleae hit return/enter after each number.
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