GotYourBack Initiative Registration
Please complete this form to receive your 24 FREE backpacks, silicone bracelets, adhesive cell phone wallets, and helpline cards!!
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Email *
Your full name *
How did you hear about this initiative? *
Name of Ecclesia, CYC or individual participating in this initiative *
Name and full mailing address of the individual who will receive the delivery. *
Phone number of the person who will receive the delivery *
Would you like us to send you 24 Bibles (Psalms + New Testament) to include with your backpacks? View here: https://bit.ly/3sZRjdH) *
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Will your group require a $100 (USD) or $120 (CA) grant to help fill the backpacks with school supplies?
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Please check the box. *
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Please check the box that applies *
Do you have any other comments or questions for The Garden Team?
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