Nassau County, NY

Legislator Kevan Abrahams Partners with Trimz Barber Shop For The
Annual Kutz For Edu Back to School Giveaway

20 Guy Lombardo Avenue
VOF Parking Lot #10 (Entrance on Ocean Ave)
Freeport, NY 11520

DEADLINE TO SUBMIT APPLICATION FOR SNEAKERS IS: SEPT 21ST 2021

CHILD(REN) MUST BE PRESENT AND WITH YOU WHEN PICKING UP SUPPLIES
BE PREPARED TO SHOW ID WHEN YOU ARRIVE MUST SHOW COPY OF CONFIRMATION EMAIL

Parent’s First Name: *

Parent’s Last Name: *

Address: *

City: *

State: *

Zip code: *

Primary Phone: *

Secondary Phone:

Email Address: *

Child's Name:

Shoe Size: *

Shoe Type: *

Gender: *

Hoodie Size: *

Name of School: *

Child's Name:

Shoe Size: *

Shoe Type: *

Gender: *

Hoodie Size: *

Name of School: *

Child's Name:

Shoe Size: *

Shoe Type: *

Gender: *

Hoodie Size: *

Name of School: *

Child's Name:

Shoe Size: *

Shoe Type: *

Gender: *

Hoodie Size: *

Name of School: *

All fields marked with a red asterisk (*) are required.