Bridge Point - Souls 2 Soles Registration

Souls 2 Soles School Shoes Outreach Program
Sponsored by Bridge Point

Hope Card Number

If you are NOT a current Hope Card holder, please apply at https://bridgepointcs.org/essentials

You must first be approved for Bridge Point's Hope Card Program in order to apply for Souls 2 Soles.

Parent/Guardian Information:

First Name

Last Name

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

# of Kids in home (ages 0-17)

# of Adults in home (ages 18-59)

# of Seniors in home (ages 60+)

Child Information:

The Souls 2 Soles Outreach exists to serve children, ages 2 - 18, who are part of the three communities that Bridge Point serves; East Canton, Canton South and Sandy Valley.

Please note that based upon availability, shoe size may be increased by 1/2 size.

Child 1's First Name

Child 1's Last Name

Child 1's Birthdate

Child 1's Gender

Child 1's Grade

Child 1's School

Child 1's Shoe Size (Please Include: Toddler/Youth/Men's/Women's)

Child 2's First Name

Child 2's Last Name

Child 2's Birthdate

Child 2's Gender

Child 2's Grade

Child 2's School

Child 2's Shoe Size (Please Include: Toddler/Youth/Men's/Women's)

Child 3's First Name

Child 3's Last Name

Child 3's Birthdate

Child 3's Gender

Child 3's Grade

Child 3's School

Child 3's Shoe Size (Please Include: Toddler/Youth/Men's/Women's)

Child 4's First Name

Child 4's Last Name

Child 4's Birthdate

Child 4's Gender

Child 4's Grade

Child 4's School

Child 4's Shoe Size (Please Include: Toddler/Youth/Men's/Women's)

Child 5's First Name

Child 5's Last Name

Child 5's Birthdate

Child 5's Gender

Child 5's Grade

Child 5's School

Child 5's Shoe Size (Please Include: Toddler/Youth/Men's/Women's)

Child 6's First Name

Child 6's Last Name

Child 6's Birthdate

Child 6's Gender

Child 6's Grade

Child 6's School

Child 6's Shoe Size (Please Include: Toddler/Youth/Men's/Women's)

Child 7's First Name

Child 7's Last Name

Child 7's Birthdate

Child 7's Gender

Child 7's Grade

Child 7's School

Child 7's Shoe Size (Please Include: Toddler/Youth/Men's/Women's)

Souls 2 Soles School Shoes Outreach ProgramSponsored by Bridge Point

Parent/Guardian Information:

Child Information:The Souls 2 Soles Outreach exists to serve children, ages 2 - 18, who are part of the three communities that Bridge Point serves; East Canton, Canton South and Sandy Valley. Please note that based upon availability, shoe size may be increased by 1/2 size.

Souls 2 Soles School Shoes Outreach Program
Sponsored by Bridge Point

Child Information:

The Souls 2 Soles Outreach exists to serve children, ages 2 - 18, who are part of the three communities that Bridge Point serves; East Canton, Canton South and Sandy Valley.

Please note that based upon availability, shoe size may be increased by 1/2 size.