Polk County (Ankeny Area) Back-To-School Mini Rally

Name: Polk County (Ankeny Area) Back-To-School Mini Rally
Start: 2024-08-02T17:00:00-05:00
End: 2024-08-02T19:00:00-05:00
Location: Four Oaks Training Center

August 2 @ 5:00 pm - 7:00 pm

Join us for our Polk County (Ankeny Area) Back-To-School Mini Rally.

CLICK HERE TO REGISTER:

Child's Initials *
First
Last

I understand that falsiying Medicaid Numbers, and failing to provide accurate information may disqualify me from utilizing FHF services in the future? *
I agree

Child's Medicaid Number *
Please note Medicaid Numbers have 7 letters, 1 number.

Please Select Grade Level of Child *
Elementary School
Middle School
High School

Child's Age *

Child's County *

Will this child need a Haircut Voucher from Great Clips? *
Yes
No

Caregiver's Information *
Email
Confirm Email

Name *
First
Last

Phone *

Address *
Address Line 1
Address Line 2
City
State
Zip Code

County *

Details

Date:: August 2
Time:: 5:00 pm - 7:00 pm
Website:: CLICK HERE TO REGISTER: https://familieshelpingfamiliesofiowa.org/ankeny-ia-back-to-school-rally-2023/

Organizer

: Families Helping Families
Phone: 319-294-9706
Email: office@fhfia.org

Venue

: Four Oaks Training Center
: 6900 NE 14th St Suite 25
Ankeny, Iowa 50023 + Google Map