2019 Backpack Program Registration
Please fill out the information below for our 2019/2020 backpack program! This program is intended for First Peoples community members living in the Region of Waterloo and surrounding communities.

Thank you to the Ministry of Child and Youth Services and other community partners/sponsors for assisting The Healing of The Seven Generations in the implementation of these programs!

Backpacks will be ready to be picked up the week of August 19th

Email address *
Student Name *
Your answer
Student Gender *
Your answer
Self-Identification *
Student DOB *
MM
/
DD
/
YYYY
School Attending for 2019/2020 *
Your answer
Grade Entering in September 2019 *
Your answer
Student Shoe Size and Type (IE 7 Kids, 8 Womens, 10 Mens) *
Your answer
Address *
Your answer
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