Today’s Date: First and Last Name of Person making request: First and Last Name of Child you're requesting a backpack for: Relationship to Child you are requesting a backpack for: (Mother, Father, etc.) Sibling Name (Separate application must be filled out for each child): Child’s Grade Level: Child’s Gender:MaleFemale Name of Child's School: Parish Located In: Preferred Backpack Pickup Location:AlexandriaMarksvilleBunkie Please provide a brief explanation of why you're requesting a backpack for the child: Phone Number: Email: Address: Signature of Person Making Request: **Completed Applications MUST be received by Friday, July 15th, 2022. Submit online application or email PDF application to marketing@onmyside.com
