2018-2019 School Supply Application
Application Required to receive backpack and supplies.
Pick-up Information
Pick-up day: July 18th 10am - 1pm (Parent/Guardian- last name A-L) & July 19th 10 am - 1pm(Parent/Guardian-last name M-Z)
All bags will cos $1.00 each at the day of pick-up.
DO NOT SEND CASH TO THE SCHOOL PRIOR TO PICK-UP
Location to pick up supplies: Hightower Academy, 175 Tiger Circle, Dawsonville 706-265-1244 ext 1735
Parent/Guardian First Name: *
This is the name of the legal guardian & only the person on this form can pick up the supplies
Your answer
Parent/Guardian Last Name: *
This is the name of the legal guardian & only the person on this form can pick up the supplies
Your answer
Address: *
Must be a Dawson County resident
Your answer
Home Phone: *
Your answer
Cell Phone: *
Your answer
Household monthly salary: (includes all members-follow free lunch guidelines) *
Your answer
Do you receive any of the following: *
Required
Besides 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
We are distributing supplies to your student in good faith & Dawson County Schools do not assume liability for quality of said items. By choosing below you are signing that you agree to the following: 1) that you are requesting to receive school supplies & that other community partners will be collaborating to provide & distribute supplies to your children, 2) that all information provided on this application is true, 3) that any additional supplies needed requested by your teacher will have to be purchased by you. If you are unable to purchase you can call 706-265-1244 ext- 1735. *
Form must be completed in full to apply
Required
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