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Registration for back-to-school

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The 2021 Back-to-School Drive is underway! We invite you to register your Penfield school-age children for a backpack and basic school supplies appropriate to their grade level. Residents of 14526 and 14625 are invited to participate as well as any families with students attending Penfield Central School District schools. Please complete the fields for each school-age child in your household.

All registrations must be received online no later than Monday, August 9.
Please complete all the fields for each student!

Drive-up distribution will be by appointment only on:
Tuesday, August 17 at 6:00pm
Thursday, August 19 at 10:00am
Monday, August 23 at 3:00pm
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Distribution Appointment REQUIRED Please fill out this field.
- Child 1 - First & Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth with year REQUIRED Please fill out this field. Please enter a date.
- Grade in Fall 2021 REQUIRED Please fill out this field. Please enter valid data.
- Child 2 - First & Last Name Please enter valid data.
- Date of birth with year Please enter a date.
- Grade in Fall 2021 Please enter valid data.
- Child 3 - First & Last Name Please enter valid data.
- Date of birth with year Please enter a date.
- Grade in Fall 2021 Please enter valid data.
- Child 4 - First & Last Name Please enter valid data.
- Date of birth with year Please enter a date.
- Grade in Fall 2021 Please enter valid data.
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