UMADAOP BOOKBAG REGISTRATION

Bookbag Registration

HELPING KIDS GET READY FOR THE UPCOMING SCHOOL YEAR.

MUST COMPLETE REGISTRATION FORM TO RECEIVE A BOOKBAG ON AUGUST 9, 2025 AT OUR ANNUAL TREE OF LIFE EVENT WHICH WILL BE HELD AT DRIVING PARK RECREATION CENTER. PICK UP TIME 1-3PM

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* 1. What is your name?

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* 2. What is your first child's name and age?

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* 3. What is your second child's name and age?

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* 4. What is your third child's name and age?

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* 5. What is your fourth child's name and age?

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* 6. Did all of your children attend or participate in an UMADAOPF Program?

Yes

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* 7. What is your contact information?

Name

Company

Address

Address 2

City/Town

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ZIP/Postal Code

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Email Address

Phone Number