Back to School Registration

Back to School Event Registration 2011-2012

Each child must be pre-registered. Registration Deadline: Wednesday August 10th

Open to all children in foster care, in-home dependencies, and Relative caregivers from or placed in Kitsap County, Preschool thru 12th grade.

This Event is to help the families with some of the school supplies needed, this is NOT expected to be everything your child needs for school.

Event: August 17th, 2011th

Location: Evergreen Park, Bremerton

Time: 11:00 AM – 2:00 PM

Registration Deadline: Wednesday August 10th

No Exceptions! Do not mail.

Return this form to Luanne Vail, DSHS Office, in Bremerton.

If your child’s social worker is not from the Bremerton Office, please email liaison or call to register

360-990-9995 or 360-475-3516

Caregiver:________________________________ Phone:_________________________

Child:_____________________ Grade going in to 2011-12:_________________

Social Worker:

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