Wimberley United Methodist Church - Back to School Fiesta Registration

Saturday, August 14, 2010, 9:00 AM to 1:00 PM
All supplies will be distributed on a first come first served basis.
Pre-registration provides the best opportunity to receive school supplies.
All personal information provided will be kept confidential.

Two ways to pre-register...
Complete the online form below, or, download and complete the Pre-Registration Form (English or Spanish) and turn it into one of the following locations: Wimberley Ace Hardware, Brookshire Brothers, Wimberley ISD Admin Building or Crisis Bread Basket, between July 1 and August 10, 2009.

Families can also Pre-register over the phone or get more information via the Barnabas Connection, 847-1664. You must speak with a volunteer to be Pre-Registered.

Online Registration Form

Parent/Guardian Information
Parent/Guardian Name
Address Must be within the WISD boundaries.
City
State
Zip Code
Home Phone
Cell Phone


Do your children use the Free/Reduced lunch program? YES

Children's Information
Please check services needed for each child. Note that immunizations are $15 per child or free with CHIP card or proof of Medicaid and will require an appointment. Please call 847-1664 to schedule your appointment.

Child #1
First Name		Last Name
Age		Grade Level
School Supplies? YES		Immunizations? YES

Child #2
First Name		Last Name
Age		Grade Level
School Supplies? YES		Immunizations? YES

Child #3
First Name		Last Name
Age		Grade Level
School Supplies? YES		Immunizations? YES

The Back to School Fiesta is sponsored by the Barnabas Connection of the Wimberley United Methodist Church, Rotary Club of Wimberley, Wimberley Lions Club, Wimberley Civic Club, Cypress Creek Church, St Mary’s Catholic Church, St Stephen’s Episcopal Church, Lutheran Church of the Resurrection, Unity Church of Wimberley, Wimberley Presbyterian Church, Chapel in the Hills, De Masters-Daniel Insurance and more!