Registration Form
Registration Form
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Email *
Please select date desired to attend.
Parent's First and Last Name
Student's First and Last Name
Student's date of birth:
MM
/
DD
/
YYYY
2020/2021 Student Grade
What school does your student attend?
By completing this form, you agree to allow United Way of Southwest Georgia, as well as its partner organizations, to send you notifications regarding upcoming events.
A copy of your responses will be emailed to the address you provided.
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