Beacon Light International Baptist Cathedral Eagles Nest Student Registration Form
Thank you for your interest in shopping at The Eagles Nest! It's our pleasure to support you on your educational journey and provide you with free school supplies year-round. 

Please complete the following form so that we can best serve your needs.
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Email *
First Name *
Last Name *
Gender *
Age *
Date of Birth *
MM
/
DD
/
YYYY
Contact Number *
Parent/ Guardian's Name (if under 18)
School Name *
Grade/ Degree Level *
Current Grade Point Average (GPA)
Please provide your current GPA, and include the quarter or semester in parentheses.
School Supply Needs *
Please select all supplies listed below that you need or select 'Other,' and identify your specific school supply needs on the 'Other' line.
Required
School Supply Details
Please use the space below to provide any special information about the school supplies that you need.
Do you need school uniforms? *
Shirt Size Category
Clear selection
Shirt Size
Clear selection
Pants Size Category
Clear selection
Pants Size
Skirt Size Category
Clear selection
Skirt Size
A copy of your responses will be emailed to the address you provided.
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