2026 Backpack Giveaway Registration - Inscripción para Backpack Giveaway (Entrega de mochila)
July 11 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 (Correo electronico)
Phone (Número de Teléfono)
Can you receive text messages? (¿Puedes recibir mensajes de texto?)
Please select all that apply.
Yes (Sí)
No (No)
Address (Dirección de casa)
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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)
How did you hear about us? (¿Cómo se enteró de nosotros?)
*
Please select all that apply.
Website (Sitio web)
Facebook
Instagram
Nextdoor App
Signs (Letreros)
Mailer (Folleto enviado por correo)
Friend (Amigo)
Other (Otro)
Child 1 (Niño 1)
Child 1 Name (Nombre del niño 1)
*
Child 1 Grade for 2026-2027 (Nivel de grado escolar del niño 1 para el año escolar 2026-2027)
*
Please select one option.
Preschool (Preescolar)
Kindergarten (Kindergarten)
1st (1er)
2nd (2do)
3rd (3er)
4th (4to)
5th (5to)
6th (6to)
7th (7mo)
8th (8vo)
9th (9no)
10th (10mo)
11th (11mo)
12th (12mo)
Child 2 (Niño 2)
Child 2 Name (Nombre del niño 2)
Child 2 Grade for 2026-2027 (Nivel de grado escolar del niño 2 para el año escolar 2026-2027)
Please select all that apply.
Preschool (Preescolar)
Kindergarten (Kindergarten)
1st (1er)
2nd (2do)
3rd (3er)
4th (4to)
5th (5to)
6th (6to)
7th (7mo)
8th (8vo)
9th (9no)
10th (10mo)
11th (11mo)
12th (12mo)
Child 3 (Niño 3)
Child 3 Name (Nombre del niño 3)
Child 3 Grade for 2026-2027 (Nivel de grado escolar del niño 3 para el año escolar 2026-2027)
Please select one option.
Preschool (Preescolar)
Kindergarten (Kindergarten)
1st (1er)
2nd (2do)
3rd (3er)
4th (4to)
5th (5to)
6th (6to)
7th (7mo)
8th (8vo)
9th (9no)
10th (10mo)
11th (11mo)
12th (12mo)
Child 4 (Niño 4)
Child 4 Name (Nombre del niño 4)
Child 4 Grade for 2026-2027 (Nivel de grado escolar del niño 4 para el año escolar 2026-2027)
Please select one option.
Preschool (Preescolar)
Kindergarten (Kindergarten)
1st (1er)
2nd (2do)
3rd (3er)
4th (4to)
5th (5to)
6th (6to)
7th (7mo)
8th (8vo)
9th (9no)
10th (10mo)
11th (11mo)
12th (12mo)
Child 5 (Niño 5)
Child 5 Name (Nombre del niño 5)
Child 5 Grade for 2026-2027 (Nivel de grado escolar del niño 5 para el año escolar 2026-2027)
Please select all that apply.
Preschool (Preescolar)
Kindergarten (Kindergarten)
1st (1er)
2nd (2do)
3rd (3er)
4th (4to)
5th (5to)
6th (6to)
7th (7mo)
8th (8vo)
9th (9no)
10th (10mo)
11th (11mo)
12th (12mo)
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 iglesia donde congregarme.)
Please select one option.
Yes (Si)
No (no)
I'm interested in a group Bible study. (Estoy interesado en un grupo de estudio Biblico.)
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 de forma individual.)
Please select one option.
Yes (Si)
No (No)
How can we pray for your family? (¿Cómo podemos orar por su familia?)
Submit
Description
July 11 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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