ROTARY CLUB OF CLARKSTON “SHOES FOR KIDS” PROGRAM
The Rotary Club of Clarkston is hosting its annual “Shoes for Kids” program. During this one-day event the Rotary Club assists families by supplying new shoes and boots, as well as hats, gloves or mittens to Clarkston school children from walking age up to children in Junior High Grade 9 (at no expense to the family or guardian).
As a parent or guardian if you wish to sign your child/children for this shoe and boot program, please complete requested information on this form before Monday, October 25, 2021.  

Be sure to sign your name below on the Parent/Guardian signature line.
Note: Please include shoe and/or boot size(s) for each child listed below
 
Completing the form (below) does not necessarily ensure that all families applying will be accepted for the “Shoes for Kids” program.  

An invitation letter with a specific appointment time on Saturday, November 20th to be held at Calvary Lutheran Church will be mailed directly to those families participating by the first week of November.  All children listed on the invitation letter must attend on November 20th in order to receive shoes and boots -- no vouchers can be issued.
The “Shoes for Kids” shoe distribution day will be on Saturday, November 20, 2021.  

Sincerely,


Joel DeLong                                                            Staci Timmins-Puzio
Clarkston Rotary Club                                            Clarkston Community Schools
Program Chairperson                                             Director, Equity, Well-being, and Community Partnerships

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Parent/Guardian Name *
Phone Number *
Street Address *
City *
Zip Code *
Number of Children Needing Shoes/Boots *
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