A backpack and supplies are included.

You may pick-up supplies on July 27th between 10:00 am and 12:00 noon at Primitive/First Baptist church in Vredenburgh, AL or from your local church any time after July 27th, 2024. Please complete this form for each child if you/your family has more than one child needing supplies.
The deadline to register is July 19th, 2024.

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* 1. Student's Full Name (Last, First)

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* 2. Parents'/Guardians' Name (Last, First)

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* 3. Parents' Best Contact Number (Include area code)

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* 4. Mailing Address (Please include Street Address or Box #; City, State, and Zip Code

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* 5. Email Address  (student's email address and/or parent's email address)

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* 6. Name of School (During 2024/2025 School Year)
*Please also list the location for the school; if home-schooled, please write "home-schooled".

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* 7. Please provide the name of your local church and/or supporting community organization.

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* 8. School Grade (2024/25 School Year)

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* 9. There is no charge for your student supplies. The supplies are made available through generous donations. If you would like to donate to BeU STEM's community outreach efforts, please visit our website or use the link below:

https://paypal.me/semmr?locale.x=en_US

Have a great summer!

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