2020-2021 Back-to-School Supply Application
An application is required in order to receive a backpack and school supplies.
* Required
Email address
*
Your email
Pick-up Information
Pick-up days: July 29th 10am - 1pm (Parent/Guardian- last name A-L)
July 30th 10 am - 1pm (Parent/Guardian-last name M-Z)
July 31st (by appointment only - please call 706-265-1244 ext 1736)
The cost of each bag is $1.00 (due at pick-up).
Please DO NOT send cash to the school prior to pick-up.
Pick-Up Location: Hightower Academy
175 Tiger Circle
Dawsonville, GA 30534
706-265-1244 ext 1736
Parent/Guardian First Name:
*
List the first name of the legal guardian. This is the only person that will be authorized to pick-up backpacks and school supplies.
Your answer
Parent/Guardian Last Name:
*
List the last name of the legal guardian. This is the only person that will be authorized to pick-up backpacks and school supplies.
Your answer
Address:
*
Must be a Dawson County resident
Your answer
Home Phone:
*
Your answer
Cell Phone:
*
Your answer
Do you receive any of the following:
*
Free/Reduced School Lunches
TANF
Unemployment
Food Stamps
None of the above
Other:
Required
Other than income, are there any other circumstances leading to your request for help with supplies?
Your answer
First Child's Name:
*
Example: Smith, Johnny
Your answer
Second Child's Name:
Example: Smith, Johnny
Your answer
Third Child's Name:
Example: Smith, Johnny
Your answer
Fourth Child's Name:
Example: Smith, Johnny
Your answer
Fifth Child's Name:
Example: Smith, Johnny
Your answer
Sixth Child's Name:
Example: Smith, Johnny
Your answer
The Dawson County School District distributes supplies to your student in good faith and does not assume liability for the quality of those items. Your selection of a choice below indicates your agreement to the following: 1) You have requested school supplies from the school district, which collaborates with other community partners to provide and distribute those supplies, 2) All information provided in the application is true, and 3) Any additional supplies needed/requested by the student's teacher must be provided by the parent/guardian. If you are unable to purchase, please call (706) 265-1244 ext. 1736.
*
Form must be completed in full to apply
Yes, I agree
No, I do not agree
Required
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