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Uniform to Uniform Drive
Child's Name: _________________________ Social Security #_______________
Date of Birth: ____________ Male____ Female___ Age________
Address: _______________________ City: ______________ Louisiana Zip__________
Home Telephone__________________ Cell or Alternate Number___________________
Mother's name ___________________________ work #______________
Father's name ____________________________work #______________
Resides with Mother/Father/ Both or Legal Guardian _________________
School Name: __________________ (2008-2009) Grade: _____________ (2008-2009)
Adult or Child size________________ Male ______ Female______
Pants size & color___________________ Shirt size & color____________
Skirt size & color____________________ Shorts size & color__________
Deadline for 2008-2009 School Uniform forms is Friday July 11, 2008.
Please fax this form to 318-429-7460
or mail it to Uniform Request co/Salvation Army,
200 Stoner Ave, Shreveport, LA 71101
You will be contacted on a "first come first serve basis" for uniforms
Please donate your new or gently used uniforms thru out the year to
Salvation Army, 200 Stoner Ave, Shreveport, LA 71101