Project SOS Registration

Project SOS: Backpack and School Supply Registration

Please complete this form once per household.
Head of Household Information:
First Name*
Last Name*
Date of Birth*

MonthDayYear
Date
Address*
Unit #
City*
State*
Zip Code*
5 Digits
Email*
example@example.com
Phone Number*

Area CodePhone Number

*Child must be present with identification at pickup*

Acceptable ID's: Medicaid, Social Security, School ID, Birth Certificate, Passport
Backpack Details:
Number of Children Receiving Backpacks*
(Only place numbers in this box)
If you have more than 8 children you will need to complete this form twice and split your children between multiple forms.
We will do our best to match your child(ren)'s bag(s) with their preferences as supplies allow.
There will not be an option to exchange bags.
First Name*
Last Name*
School *
Grade Level *
Gender for Items Received *
Color Preference*
2 - First Name*
2 - Last Name*
2- School*
2 - Grade Level*
2 - Gender for Items Received*
2 - Color Preference*
3 - First Name*
3 - Last Name*
3 - School*
3 - Grade Level*
3 - Gender for Items Received*
3 - Color Preference*
4 - First Name*
4 - Last Name*
4 - School*
4 - Grade Level*
4 - Gender for Items Received*
4 - Color Preference*
5 - First Name*
5 - Last Name*
5 - School*
5 - Grade Level*
5 - Gender for Items Received*
5 - Color Preference*
6 - First Name*
6 - Last Name*
6 - School*
6 - Grade Level*
6 - Gender for Items Received*
6 - Color Preference*
7 - First Name*
7 - Last Name*
7 - School*
7 - Grade Level*
7 - Gender for Items Received*
7 - Color Preference*
8 - First Name*
8 - Last Name*
8 - School*
8 - Grade Level*
8 - Gender for Items Received*
8 - Color Preference*

The backpacks will be available for pickup from The Banquet - 900 East 8th Street, Sioux Falls at the date that you selected. Enter through the West entrance off of Indiana Avenue. Please be assured that your child's backpack has been reserved by completing this form, so please do not rush to be at the site early.
Pickup Date Selection*
If these dates and times do not work for your family contact the Banquet at 605-335-7066 to make other arrangements.
Receiving Method

Pickup
Integration Date

MonthDayYear
Date
Registration ID Integration - Pickup
Pickup Period

MorningAfternoon
AM Pickup Period
PM Pickup Period
Should be Empty:

Project SOS: Backpack and School Supply Registration