JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Family Resource Center Sign-Up
Please complete the following questions for our documentation purposes. Once you click submit, you will receive a link which you can click to schedule your appointment.
Families can expect to complete up to two loads of laundry per appointment time.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
1. Name of person completing the form:
*
Your answer
Phone Number
*
Your answer
Email (if applicable)
*
Your answer
2. Name(s) of your children who are enrolled in Searcy Public Schools:
*
Your answer
3. Will you be the person coming to do the laundry?
*
Yes
Other:
4. Would you like to schedule an appointment for laundry services?
The trailer is currently only available on Tuesdays and Thursdays and is located at 801 N. Elm.
When you click SUBMIT on this form, there will be a blue link to reserve your appointment. CLICK THE BLUE LINK.
*
Yes
5. I understand that I can only complete 1-2 loads of laundry during my appointment time and that I must remain with my belongings the entire time.
*
Yes
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Searcy Public Schools.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report