2023 Back to School Clothing Drive School Registration

Form Instructions
Enter your organization information followed by individual student data. When you Submit your data, it will be saved in the system. You may submit student data in multiple sessions.

If you are a Nonprofit or Charter school you will find your Organization under "Nonprofit or Charter School" in the School District field. For Luke AFB, enter "Luke AFB" under the district selection, and "Luke Airforce Base Community Chapel" as the school choice.

If you have any problems with this form, call Janette Lopez, Program Director at 602-256-9408, extension 1002.
Principal / Organization Director / LAFB Family Name
School Primary Contact Information

All participants agree to the following: (Must agree to all 3 items to participate):
1. This information is true and correct
2. BTSCD may use this information
3. I understand that by accepting this invitation, consent is given to BTSCD to use all images, video and audio of participants for BTSCD marketing purposes
Student Information
Uniform Selection
If none selected, child will receive Navy Blue top and Khaki bottoms. Size exchanges will need to be made by exchanging through your school clothing closet.
Parent/Guardian Information
All children receive oral health education. Opt-In children receive a dental screening and fluoride varnish application, valued at $80
Review all information for this student to confirm data is correct before you continue, or you will not be able to submit your registrations.