2020-2021 School Supply Backpack Program Sign-up

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Your child's school supplies will be delivered/ picked up at their meet the teacher appoinments.

Parent Name *

Contact number *

What type of learning environment did you sign your child(ren) up for? *

My child will follow the district plan

My child will participate in the Distance Learning Plan (FLEX PLAN)

Other

Child #1 *

Child #1 Grade *

Child #1 Teacher

Child #2 Name

Child #2 Grade

Child #2 Teacher

Child #3 Name

Child #3 Grade

Child #3 Teacher

Child #4 Name

Child #4 Grade

Child #4 Teacher

Child #5 Name

Child #5 Grade

Child #5 Teacher

Would you like your child to take a backpack full of food home every Friday? *

Yes

Do you have stable housing? *

Yes

Have you filled out a new Free and Reduced lunch form THIS YEAR? *

Yes

Would your family be interested in a box full of Thanksgiving food for Thanksgiving? *

Yes

Maybe

Does your child need any winter gear? (coat, boots, hat, snowpants, gloves) *

Coat

Hat

Boots

Gloves

Snowpants

None Needed

Are there any other resources your child or your family need to help you be sucessful?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Stewartville Public Schools. Report Abuse