Backpacks Registration Form | First Call for Help

First Name (Parent)

Last Name (Parent)

Address/City

Phone

Email

1.Name/Gender/Grade/School (example: Jerry Rice/M/7/Hays Middle School)

2. Student Name/Gender/Grade/School

3. Student Name/Gender/Grade/School

4. Student Name/Gender/Grade/School

Additional Students

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First Call for Help - Ellis County | 607 E 13th Street | Hays, KS 67601 | 785.623.2800