Blessings in a Backpack Needs Survey
Email address *
Parent Name *
Phone Number *
Address *
I am interested in having my CCES student participate in the Virtual Learning Blessings in a Backpack program for the 20-21 school year. *
CCES Students and grades *
List student names and grades (first name last name, grade)
Never submit passwords through Google Forms.
This form was created inside of Howard County Public School System. Report Abuse