2019 Pride - Meacham Park NIA

Neighborhood Improvement Association

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MNIA Back To School Rally

Saturday, August 8, 2015

12:00 - 3:00 pm

Meacham Memorial Park
Kirkwood, MO

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

For More Information Contact:

Jeremy Jones, Back To School Rally Committee Chair

(314) 690-1691

meachamparknia@gmail.com

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