Form For School Supplies - Women That Give

Guardians and Parents

Please fill out the following information to request back-to-school items for
your children. All information is kept confidential.

Parent/Guardian Information

Name *

First

Last

Parent/Guardian Information

Email *

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Status In Canada *

Phone *

Child's Information

Child section Complete

Child's Name 1 *

First

Last

Complete this section - Child 1

Grade Level

School Name

Clothing Size

Shoe Size

Child's Name 2

First

Last

Grade Level

School Name

Clothing Size

Shoe Size

Child's Name 3

First

Last

Grade Level

School Name

Clothing Size

Shoe Size

Child's Name 4

First

Last

Grade Level

School Name

Clothing Size

Shoe Size

Please add other children as needed

Include the school name, grade and size of clothing

Comments/Requests

Date / Time *

Date

Time