2026 Summer Jam Backpack Registration Form

Parent/Guardian Information

First and Last Name

This address will receive a confirmation email

Phone

Full Address

Preferred Contact Method

Household Size

Age of Household Members

Annual Household Income

College Freshman

Name

College Attending

Major/Area of Study

Student Information - Pre-K - 12th Grade

Child 1 Full Name

Age

Gender

2026-2027 Grade Level

School Name

Child 2 Full Name

Age

Gender

2026-2027 Grade Level

School Name

Child 3 Full Name

Age

Gender

2026-2027 Grade Level

School Name

Who Invited You

Name

Would you like to register your child(ren) for our Annual Christmas Toy Giveaway?

Additional Support

Are you currently in need of assistance with any of the following? (check all that apply) * Employment Church Home Clothing Youth/Family Programs Prayer/Spiritual Support

Communication

Would you like to receive info about future TSOP community events?

I consent to receive text messages (SMS/MMS) from Enhance Your Chance Title 1 Community Development Center, Inc. regarding program information, community alerts, events, updates, and promotional content to the mobile number provided. Message frequency will vary (5 SMS/week). Standard message and data rates may apply. Consent is not required to receive our services or programs. I understand I can reply STOP to unsubscribe at any time.

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I consent to receive emails from Enhance Your Chance Title 1 Community Development Center, Inc. regarding program information, community alerts, events, updates, and promotional content. Message frequency will vary (1 emails/month). I understand I can unsubscribe at any time.

Opt in Opt out More Info (Help)

How did you hear about the event or us? *

Apartment Complex Church Social Media Family/Friend Other

By submitting this form, you are agreeing that every information submitted is true and we can use this information for future communication.

Description

July 18, 2026 12:00 PM -4:00 PM

Register for EYC Summer Jam: Community & Connection 2026 hosted by EYC in collaboration with Transforming Hearts Intentional Discipleship!

Join us for a FREE family and community event filled with backpacks and school supplies, food, bounce houses, games, raffles, community resources, and more!

*Registration is required to receive a backpack and school supplies. Supplies are limited and will be distributed to those who register while available. Parent/Guardian and child must be present at pickup.

When: Saturday, July 18th
Time: 12:00 PM - 4:00 PM
Where: 6528 US-301 Suite 114, Riverview, FL 33578

2026 Summer Jam Backpack Registration Form

Description

Please Fix the Following