Register For Back-to-School Back packs Registration will be available starting July 10th and will close on August 16thLimited Supplies, first come first served Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *EmailConfirm EmailPlease confirm you have NOT previously registered for Back Pack assistance with any other agency as we are not able to process duplicate registrations. *Please selectI have not registered with any other agencyI have registered elsewherePlease confirm you live in Clarington *Please selectYes, I live in ClaringtonI do not live in ClaringtonWe are unable to process applications for residents outside of Clarington *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodePlease note: The Salvation Army Bowmanville Backpack Program is open only to residents of Clarington. We are unable to process applications for residents outside of Clarington, Phone *Comments or QuestionsLayout#of Children living at this address going into Grades JK to 12 ONLY *Child 1 Name *FirstLastChild 1 Grade *Child 1 - Choose Back Pack for *GirlBoyPrefer not to sayChild 1 Birthdate *Child 2 Name *FirstLastChild 2 Grade *Child 2 - Choose Gift For *GirlBoyPrefer not to sayChild 2 Birthdate *Child 3 Name *FirstLastChild 3 Grade *Child 3 - Choose Gift For *GirlBoyPrefer not to sayChild 3 Birthdate *Child 4 Name *FirstLastChild 4 Grade *Child 4 - Choose Gift For *GirlBoyPrefer not to sayChild 4 Birthdate *Child 5 Name *FirstLastChild 5 Grade *Child 5 - Choose Gift For *GirlBoyPrefer not to sayChild 5 Birthdate *Child 6 Name *FirstLastChild 6 Grade *Child 6 - Choose Gift For *GirlBoyPrefer not to sayChild 6 Birthdate *Child 7 Name *FirstLastChild 7 Grade *Child 7 - Choose Gift For *GirlBoyPrefer not to sayChild 7 Birthdate *Child 8 Name *FirstLastChild 8 Grade *Child 8 - Choose Gift For *GirlBoyPrefer not to sayChild 8 Birthdate *Child 9 Name *FirstLastChild 9 Grade *Child 9 - Choose Gift For *GirlBoyPrefer not to sayChild 9 Birthdate *WaiverBy Submitting this form I certify all information is complete and accurate. I have not registered for Back Pack assistance with any other agency and I give permission for email communications with The Salvation Army Bowmanville for follow-up as required.I agree and have signed this electronically *Electronic SignatureSubmit