Top2Toe Application – Bridging the Gap

Bridging the Gap

Email Address

info@btgcommunity.org

Phone Number

770-683-9110

Our Location

19 First Ave. Newnan

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Top 2 Toe Application

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- Step 1 of 7

Parent/ Guardian Name *

First

Last

Relationship to the child(ren)? *

Mother
Father
Legal Guardian
Other

What is your relationship to the child(ren) *

Photo ID *

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3

Address *

Address Line 1

City

State

Zip Code

Phone *

Email *

Email

Confirm Email

Is there another adult in your house who has responsibility for the child/children form whom you are requesting assistance? *

Yes
No

Parent/ Guardian Name #2 *

First

Last

Relationship to the child(ren)? *

Mother
Father
Legal Guardian
Other

Alternate Contact Name *

First

Last

Alternate Contact Phone *

Which location did your children receive Summer Lunch at? *

C.J. Smith Park
Eastgate Apartments
Senoia Park of Hope
Grantville Splash Pad
Highland Apartments
Ruth Hill Elementary
South Oaks Mobile home park
Sweetbriar Mobile home park
Western Elementary
None

How many SCHOOL aged (Grades PreK to Highschool Senior) children do you have? *

Child 1: Name *

First

Middle

Last

Child 1: Gender *

Girl
Boy

Child 1: Age *

Child 1: Birthday *

Document must show DOB: Birth Certificate, Peach State/Medical card (if it shows DOB), Vaccine Record, Screenshot of Student Profile in Campus Parent Portal.

Child 1: Birthdate validation document *

Drag & Drop Files, Choose Files to Upload

DO NOT provide a Social Security card; it is not proof of birthdate.

What type of school will Child 1 attend in the fall? *

PreK
Elementary
Middle
High

Pre K School Name *

Which Elementary School will Child 1 attend *

Which Middle School will Child 1 attend? *

Which High School will Child 1 attend? *

Child 1: Sizes

Shirt Size *

Pant Size *

Shoe Size *

Sock Size *

Undergarment Size *

Clothing/Shoe preferences *

Favorite color *

Child 2: Name *

First

Middle

Last

Child 2: Gender *

Girl
Boy

Child 2: Age *

Child 2: Birthday *

Child 2: Birthdate Validation *

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3

Acceptable documents: Birth Certificate, Peach State/Medical card (if it shows DOB), Vaccine Record, Screenshot of Student Profile in Campus Parent Portal. DO NOT provide a Social Security card; it is not proof of birthdate.

What type of school will Child 2 attend in the fall? *

PreK
Elementary
Middle
High

Pre K School Name *

Which Elementary School will Child 2 attend? *

Which Middle School will Child 2 attend? *

Which High School will Child 2 attend? *

Child 2: Sizes

Shirt Size *

Pant Size *

Shoe Size *

Sock Size *

Undergarment Size *

Clothing/Shoe preferences *

Favorite Color *

Child 3: Full Name *

First

Middle

Last

Child 3: Gender *

Girl
Boy

Child 3: Age *

Child 3: Birthday *

Child 3: Birthdate Verification *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Camera Preview

3

Acceptable documents: Birth Certificate, Peach State/Medical card (if it shows DOB), Vaccine Record, Screenshot of Student Profile in Campus Parent Portal. DO NOT provide a Social Security card; it is not proof of birthdate.

What type of school will Child 3 attend in the fall? *

PreK
Elementary
Middle
High

Pre K School Name *

Undergarment fall? Child

Which Elementary School will Child 3 attend? *

Which Middle School will Child 3 attend? *

Which High School will Child 3 attend? *

Child 3: Sizes

Shirt Size *

Pant Size *

Shoe Size *

Sock Size *

Undergarment Size *

Clothing/Shoe preferences *

Favorite color *

Child 4: Full Name *

First

Middle

Last

Child 4: Gender *

Girl
Boy

Child 4: Age *

Child 4: Birthday *

Child 4: Birthdate Verification *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Camera Preview

3

Acceptable documents: Birth Certificate, Peach State/Medical card (if it shows DOB), Vaccine Record, Screenshot of Student Profile in Campus Parent Portal. DO NOT provide a Social Security card; it is not proof of birthdate.

What type of school will Child 4 attend in the fall? *

PreK
Elementary
Middle
High

Pre K School name *

Which Elementary School will Child 4 attend? *

Which Middle School will Child 4 attend? *

Which High School will Child 4 attend? *

Child 4: Sizes

Shirt Size *

Pant Size *

Shoe Size *

Sock Size *

Undergarment Size *

Clothing/Shoe preferences *

Favorite color *

Child 5: Full Name *

First

Middle

Last

Child 5: Gender *

Girl
Boy

Child 5: Age *

Child 5: Birthday *

Child 5: Birthdate verification *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Camera Preview

3

Acceptable documents: Birth Certificate, Peach State/Medical card (if it shows DOB), Vaccine Record, Screenshot of Student Profile in Campus Parent Portal. DO NOT provide a Social Security card; it is not proof of birthdate.

What type of school will Child 5 attend in the fall? *

PreK
Elementary
Middle
High

Pre K School Name *

Which Elementary School will Child 5 attend? *

Which Middle School will Child 5 attend? *

Which High School will Child 5 attend? *

Child 5: Sizes

Shirt Size *

Pant Size *

Shoe Size *

Sock Size *

Undergarment Size *

Clothing/Shoe preferences *

Favorite color *

Child 6: Full Name *

First

Middle

Last

Child 6: Gender *

Girl
Boy

Child 6: Age *

Child 6: Birthday *

Child 6: Birthdate verification *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Camera Preview

3

Acceptable documents: Birth Certificate, Peach State/Medical card (if it shows DOB), Vaccine Record, Screenshot of Student Profile in Campus Parent Portal. DO NOT provide a Social Security card; it is not proof of birthdate.

What type of school will Child 6 attend in the fall? *

PreK
Elementary
Middle
High

Pre K School Name *

Which Elementary School will Child 6 attend? *

Which Middle School will Child 6 attend? *

Which High School will Child 6 attend? *

Child 6: Sizes

Shirt Size *

Pant Size *

Shoe Size *

Sock Size *

Undergarment Size *

Clothing/Shoe preferences *

Favorite color *

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Contact Info

BTG 19 1st Ave, Newnan GA. 30265
770.683.9110
info@btgcommunity.org

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