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Uganda Ambassador Backpacks 2021 on Friday, January 1, 2021 @ 8:00 AM

Price:

(No charge)

*Attendee's First Name:

*Attendee's Last Name:

*Attendee's Email Address:

*Attendee's Phone Number:

Country:

Address Line 1:

Address Line 2:

City, State Zip:

Uganda 2021 Kids products available to purchase.

Backpacks	Qty	Price
Backpack		25.00
Additional Backpack		10.00
Shipping		10.00

*Total number of Backpacks purchasing

Please make sure you have entered parent/guardian's information in the fields marked Attendee above.

List all information for children receiving the backpacks you are purchasing.

*Where do you most often engage with Cross Timbers?

*Child 1. First Name

*Child 1. Last Name

*Child 1. Gender

*Child 1. Date of Birth

Child 2. First Name

Child 2. Last Name

Child 2. Gender

Child 2. Date of Birth

Child 3. First Name

Child 3. Last Name

Child 3. Gender

Child 3. Date of Birth

Child 4. First Name

Child 4. Last Name

Child 4. Gender

Child 4. Date of Birth

Child 5. First Name

Child 5. Last Name

Child 5. Gender

Child 5. Date of Birth

Child 6. First Name

Child 6. Last Name

Child 6. Gender

Child 6. Date of Birth

Please list all information for any addition children receiving a backpack.

*I am aware these products purchased are not tax deductible.

*Signature (First and Last Name)

*Date

Registration Total: