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About Us
Services
Student Center
Merchandise
Membership Process
Admission Process
FAQs
Donate
Events
Blog
Contact
(510) 518-6848
About Us
Services
Student Center
Merchandise
Membership Process
Admission Process
FAQs
Donate
Events
Blog
Contact
Community Cuts Backpack Giveaway Registration
Fill in all the required fields
Community Cuts + Backpack Giveaway Registration Form
1
Parent / Guardian Information
2
Student Information
3
Event Services
4
Community Information
Full Name
(Required)
Email
(Required)
Phone
(Required)
Which city do you live in?
City
ZIP Code
Number of Child/Youth attending (Under 18)
(Required)
Number of adults attending
(Required)
Checkbox
(Required)
I certify that the information provided above is true and correct to the best of my knowledge.
(Required)
IMPORTANT RULES
EACH child/youth MUST BE pre-registered to receive a back pack.
Every registered child/youth will receive a back pack.
How many children are you registering?
(Required)
One Child
Two Children
Three Children
Four Children
Five Children
This field is hidden when viewing the form
Child Number One
Child #1
Child/Youth Name
(Required)
Sex
(Required)
Female
Male
Non-Binary
Age
(Required)
Grade
(Required)
School
(Required)
Special Needs?
This field is hidden when viewing the form
Child Number Two
Child #1
Child/Youth Name
(Required)
Sex
(Required)
Female
Male
Non-Binary
Age
(Required)
Grade
(Required)
School
(Required)
Special Needs?
Child #2
Child/Youth Name
(Required)
Sex
(Required)
Female
Male
Non-Binary
Age
(Required)
Grade
(Required)
School
(Required)
Special Needs?
This field is hidden when viewing the form
Child Number Three
Child #1
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
Child #2
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
Child #3
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
This field is hidden when viewing the form
Child Number Four
Child #1
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
Child #2
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
Child #3
Child/Youth Name
(Required)
Grade
(Required)
Age
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
Child #4
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
This field is hidden when viewing the form
Child Number Five
Child #1
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
Child #2
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
Child #3
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
Child #4
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
Child #5
Child/Youth Name
(Required)
Age
(Required)
Grade
(Required)
School
(Required)
Sex
(Required)
Female
Male
Non-Binary
Special Needs?
Would you like a free haircut?
(Required)
Yes
No
Would you like a backpack?
(Required)
Yes
No
How Did You Hear About This Event?
Facebook
Instagram
Community Partner
School
Friend / Family
Other
Consent Checkbox
(Required)
I understand that registration does not guarantee availability and services will be provided while supplies and capacity allow.
(Required)
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