2019 Pride in our Park - Meacham Park NIA

Neighborhood Improvement Association

Home
Contact Us
Donate - 2023 MNIA Scholarships
Apply - Scholarship Application

Quantities Are Limited,
First Come - First Serve
Pre-Register to Reserve Your Backpack Today!

Backpack Pre-Registration Form

Please Complete One Form For Each Backpack Requested

* Indicates required field

Parent/Guardian *

First

Last

Email *

Phone Number *

Student *

First

Last

Grade Level *

Please indicate the grade level of your child for whom the backpack is requested.

Gender *

Male Female

Student's Email *

Student's Phone Number *

I Would Like More Information About (Choose All That Apply): *

Tutoring Mentorship Parenting Workshops Parent Teacher Conference Assistance African American History Classes ACT/College Prep College Financial Aid/Scholarships Other (Explain in Comment Box) No Thank You

Please Let Us Know If You Are Interested In Receiving More Information Concerning The Following:

Comment Box *

Please tell us what information or resources you would like us to research and provide at the Back To School Rally and/or throughout the school year.

Register

Create your own unique website with customizable templates.