Parents: Please complete the form with your student’s mailing address so we can send them a package.

Come be part of this special evening of care, connection, and encouragement! If you can't make it at 7 PM, drop off your items early to Kimmi and we will make the package for you.

First Name:*
Last Name:*
Phone Number:
E-mail Address:*
I'd like to help make packages.
I want my kid to receive a package.
Student's name
Student's address
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