Pollard-McCall Junior High School
Backpack Outreach K-8
We will review your application and contact you with more information.
Register before June 25th
Parent / Guardian Name
Street Address
City,State,Zip
Phone Number
Email
Do you attend church?
Yes
No
If yes, what church?
Child 1
Name
Age
Grade
Gender
Male
Female
School
Child 2
Name
Age
Grade
Gender
Male
Female
School
Child 3
Name
Age
Grade
Gender
Male
Female
School
Child 4
Name
Age
Grade
Gender
Male
Female
School
Child 5
Name
Age
Grade
Gender
Male
Female
School
