School Supply Reservation Form
The Coon Rapids United Church will be giving away school supplies to kids in the CR-B School District and entering preschool through 12th grade.

Here’s what you need to do to reserve school supplies for your child.
- Complete and Submit this reservation form by AUGUST 5th
- On Wednesday, August 12th: Drive-Through pick-up will be between 5:00-6:30 PM in the East parking lot of the Methodist Church

Questions: Please call the church office 712-999-5262 or call or text Pastor Joyce 515-480-8457
Email address *
Parent Name *
Address *
Phone Number *
Email Address
#1 - Child's First Name / Grade Entering
#2 - Child's First Name / Grade Entering
#3 - Child's First Name / Grade Entering
#4 - Child's First Name / Grade Entering
#5- Child's First Name / Grade Entering
#6- Child's First Name / Grade Entering
#7- Child's First Name / Grade Entering
#8- Child's First Name / Grade Entering
High School Student Information Below:
High School Math Classes
High School Science Classes
Other - High School Classes
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