Back to School BASH Pre-Registration

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Back to School BASH Pre-Registration

Back to School Bash by East Grand Community Services
August 14, 2022
6:00 - 8:00 pm

2020 E Grand St
Springfield, MO 65804

*Use the form to pre-register for a backpack so you can get in line at 6 with little to no waiting!*

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* Indicates required question

Student Name: *

Your answer

Grade for Fall 2022 (We are serving K-5 students only): *

K

1

2

3

4

5

Gender: *

Male

Female

Parent/Guardian Names: *

Your answer

Student's Address: *

Your answer

Zip Code: *

Your answer

Parent Email Address: This is how we will send you your confirmation of registration *

Your answer

Confirm Email Address *

Your answer

Parent Home/Cell Number: *

Your answer

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