Back To School – United Hmong American Association

BACK TO SCHOOL GIVEAWAY 2021

Please fill out our online Registration Form. Limited quantities available; enter up to 6 children only please. Registrations will be closed once applications are filled.

Please be sure to click on the “Submit” button. Failure to fill out the required information will void your registration.

Note: Eligibility – Hmong students K-8 ONLY.

Applications will open on 7/27/2021.

NOTE: A person can only register once. Please ensure to use your email address and phone # only once to register all child(ren).

Thank you.

Date
MM slash DD slash YYYY
Email*
Enter Email Confirm Email
Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Child or children*

Please enter each child per row. Be sure to add School Attending and Grade. Failure to provide all of the information will void your registration. Click on the + sign to add a child. Please do not re-register, simply click on the + sign to add (up to 6 children) NOTE: A person can only register once. Please ensure to use your email address and phone # only once to register all child(ren).

Name of Child	School Attending	Grade

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