Smart School

Child's Name *

First Name

Last Name

Parent's Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Birthday *

MM

DD

YYYY

TShirt Size

Child S

Child M

Child L

Child XL

Adult S

Adult M

Adult L

Adult XL

Is your student currently on free or reduced lunch at school?

Yes

No