We Love St. Charles Backpack & Pool Party Application 2019
Below you will find the application for the 2019 We Love St. Charles Backpack & Pool Party on July 27th, 2019 from 7:30-9:30pm. You or a family representative must be in attendance to receive a backpack. The party includes FREE swimming, food, games, t-shirts for the kids, a clothing closet to shop, and much more! So come ready to party!

IMPORTANT: if you do not or are unable to attend the Pool Party on July 27th, you will NOT receive a backpack.

Also, due to limited resources, only students enrolled in Kindergarten through High School qualify. Thank you for understanding!

**Special Note: If your child attends a St. Charles City School District School that does not require supplies, but instead money to go towards supplies, your child will receive a certificate at the pool party along with a backpack**

Guardian's First Name *
Guardian's Last Name *
Street Address *
example: 1111 Street St.
City *
Zip Code *
Phone Number *
Email *
Are you or someone in your Household disabled? *
What is your ethnicity? *
Choose all that apply
Required
What is your martial status? *
Total number of people living in your Household: *
Annual Household Income *
How did you hear about the We Love St. Charles Backpack & Pool Party? *
Do you give We Love St. Charles permission to verify enrollment with your student's school? *
Total number of students needing school supplies Kindergarten-High School Only
Do your student(s) qualify for free or reduced lunch at school? *
Total Number of People Attending Backpack & Pool Party on July 28th *
*Attendance is Required*
1st Student's Name
First & Last
1st Student's Grade Level
2019-2020 Year
1st Student's School Attending
2019-2020 Year
1st Student's T-Shirt Size
2nd Student's Name
First & Last
2nd Student's Grade Level
2019-2020 Year
2nd Student's School Attending
2019-2020 Year
2nd Student's T-Shirt Size
3rd Student's Name
First & Last
3rd Student's Grade Level
2019-2020 Year
3rd Student's School Attending
2019-2020 Year
3rd Student's T-Shirt Size
4th Student's Name
First & Last
4th Student's Grade Level
2019-2020 Year
4th Student's School Attending
2019-2020 Year
4th Student's T-Shirt Size
5th Student's Name
First & Last
5th Student's Grade Level
2019-2020 Year
5th Student's School Attending
2019-2020 Year
5th Student's T-Shirt Size
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