Back2School Initiative Registration Form
Household / Parent Information
Complete this section once per household.
This ticket collects the parent/guardian contact information, household eligibility details, pickup information, and required consent for the MSSWR 2026 Back2School Campaign.
Please do not add child-specific information in this section. You will be asked to complete a separate Child Backpack Request for each child who requires support.
Child 1 – Backpack Request
Complete this section for the first child in your household who is requesting a backpack and school supply package.
Please provide the information specifically for this child.
Child 2 – Backpack Request
Complete this section for the second child in your household who is requesting a backpack and school supply package.
Please provide information specifically for Child 2.
Child 3 – Backpack Request
Complete this section only if you are requesting Back2School support for a third child in your household.
Please provide the information specifically for Child 3.
Child 4 – Backpack Request
Complete this section only if you are requesting Back2School support for a fourth child in your household.
Please provide the information specifically for Child 4.
Child 5 – Backpack Request
Complete this section only if you are requesting Back2School support for a fifth child in your household.
Please provide the information specifically for Child 5.
Child 6 – Backpack Request
Complete this section only if you are requesting Back2School support for a sixth child in your household.
Please provide the information specifically for Child 6.
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