2025 Backpack Giveaway Registration - Inscripción para Backpack Giveaway (Sorteo de mochila)
July 26 1-3 p.m. | Please fill out this form and click submit.
Por favor, rellene este formulario y haga clic en enviar.
Family Last Name (Apellido de la familia)
*
First Name of Person Filling Out Form (Nombre de la persona que llena el formulario)
*
Email
*
This address will receive a confirmation email
Phone (Teléfono)
*
Can you receive text messages? (¿Puedes recibir mensajes de texto?)
*
Please select all that apply.
Yes (Sí)
No (No)
Address (Dirección)
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Preferred Language (Idioma preferido)
*
Child 1 (Niño 1)
Child 1 Name (Nombre del niño 1)
*
Child 1 Grade for 2023-2024 (Nivel de grado escolar del niño 1 para el año escolar 2023-2024)
*
Please select one option.
Preschool (Preescolar)
Kindergarten (Kindergarten)
1st (1er)
2nd (2er)
3rd (3er)
4th (4er)
5th (5er)
6th (6er)
7th (7er)
8th (8er)
9th (9er)
10th (10er)
11th (11er)
12th (12er)
Child 2 (Niño 2)
Child 2 Name (Nombre del niño 2)
Child 2 Grade for 2023-2024 (Nivel de grado escolar del niño 2 para el año escolar 2023-2024)
Please select all that apply.
Preschool Preescolar)
Kindergarten (Kindergarten)
1st (1er)
2nd (2er)
3rd (3er)
4th (4er)
5th (5er)
6th (6er)
7th (7er)
8th (8er)
9th (9er)
10th (10er)
11th (11er)
12th (12er)
Child 3 (Niño 3)
Child 3 Name (Nombre del niño 3)
Child 3 Grade for 2023-2024 (Nivel de grado escolar del niño 3 para el año escolar 2023-2024)
Please select one option.
Preschool Preescolar)
Kindergarten (Kindergarten)
1st (1er)
2nd (2er)
3rd (3er)
4th (4er)
5th (5er)
6th (6er)
7th (7er)
8th (8er)
9th (9er)
10th (10er)
11th (11er)
12th (12er)
Child 4 (Niño 4)
Child 4 Name (Nombre del niño 4)
Child 4 Grade for 2023-2024 (Nivel de grado escolar del niño 4 para el año escolar 2023-2024)
Please select one option.
Preschool Preescolar)
Kindergarten (Kindergarten)
1st (1er)
2nd (2er)
3rd (3er)
4th (4er)
5th (5er)
6th (6er)
7th (7er)
8th (8er)
9th (9er)
10th (10er)
11th (11er)
12th (12er)
Child 5 (Niño 5)
Child 5 Name (Nombre del niño 5)
Child 5 Grade for 2023-2024 (Nivel de grado escolar del niño 5 para el año escolar 2023-2024)
Please select all that apply.
Preschool Preescolar)
Kindergarten (Kindergarten)
1st (1er)
2nd (2er)
3rd (3er)
4th (4er)
5th (5er)
6th (6er)
7th (7er)
8th (8er)
9th (9er)
10th (10er)
11th (11er)
12th (12er)
Additional Information - Optional (Información adicional - Opcional)
The next questions are not required to receive a backpack.
(Las siguientes preguntas no son necesarias para recibir una mochila.)
I'm looking for a church home. (Estoy buscando una casa de la iglesia.)
Please select one option.
Yes (Si)
No (no)
I'm interested in a group Bible study. (Estoy interesado en un estudio bíblico en grupo.)
Please select one option.
Yes (Si)
No (No)
I'm interested in studying the Bible with someone one-on-one. (Estoy interesado en estudiar la Biblia con alguien uno a uno.)
Please select one option.
Yes (Si)
No (No)
How can we pray for your family? (¿Cómo podemos orar por su familia?)
Submit
Description
July 26 1-3 p.m.
Please fill out this form and click submit.
Por favor, rellene este formulario y haga clic en enviar.
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