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Registration

We have backpacks with supplies for your school year, each backpack is $7.00. Pick up will be at our annual Back to School Bash at the Jones Pavilion at Riverside Park in Beloit, WI. The event runs from 10am-12pm with free food, games and fun for the family!

Please fill out the information below to register your child for a backpack, and pay online with the button below, or call to schedule a time to pay in person. 608-365-9131 ex. 12, Payment is due at the time of registration, we can not hold backpacks that aren’t paid for.

Name *
Name
Parent or Gaurdian
Address
Address
Phone *
Phone
Child's Information
Name *
Name
Child's Name
Name
Name
Child's Name
Name
Name
Name
Name
Name
Name