S4TK COLLECTION BIN REQUEST FORM

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Thanks for supporting S4TK Sports Equipment Collection Drive! We are so appreciative of lightly used and new equipment. Sports 4 the Kids will not share or provide this information to any other third parties without the consent of the applicant below.

First Name *

Last Name *

Phone Number *

Email Address *

Program/Team Name if you want it represented on Flyer &/or Collection Bin Label

Contact Phone Number &/or Email address for Flyer & Collection Bin for people donating to be able to reach someone for larger items and questions. *

Address for location of collection bin drop off: *

Specific time for collection bin drop off:

Time

Notes, Special Needs, Questions or other information you would like on your flyer/bin label.

Where did you hear about Sports 4 the Kids?

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