School Supply Giveaway 2024

Sunday, August 4, 2024 @ 5:30-6:30pm | Please fill out this form and click submit.

Sunday, August 4 @5:30-6:30PM

3699 Hwy 59
Mandeville, LA 70471
985-778-2066

Registration

Name

*

Date of Birth

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Spouse's Name

Spouse's Date of Birth

Children & Teen Registration

Child 1 Name

Child 1 Date of Birth

Child 1 Gender

Please select one option.

Boy Girl

Child 2 Name

Child 2 Date of Birth

Child 2 Gender

Please select one option.

Boy Girl

Child 3 Name

Child 3 Date of Birth

Child 3 Gender

Please select one option.

Boy Girl

Child 4 Name

Child 4 Date of Birth

Child 4 Gender

Please select one option.

Boy Girl

Child 5 Name

Child 5 Date of Birth

Child 5 Gender

Please select one option.

Boy Girl

Child 6 Name

Child 6 Date of Birth

Child 6 Gender

Please select one option.

Boy Girl

How many children for school supplies?

*

Please select one option.

1 2 3 4 5 6

Description

Sunday, August 4, 2024 @ 5:30-6:30pm

Please fill out this form and click submit.

Please Fix the Following

Close