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Backpack Request
Please fill in the following information. Some items are required in order for you to submit the form. Please supply us with as much information as you can. We will only use this information for tracking purposes to verify where the backpacks are being distributed. Please only request a backpack because it is needed, not because it is free. We have many children to supply backpacks to and the ones that are taken and not needed are the ones that keep a child in need from receiving one.

We are currently distributing in Bradford, Cameron, Lycoming, McKean, Potter, and Tioga Counties.

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