Shoe Drive Form — STEP Richmond

STEP Shoe Giveaway Registration Form

Parent Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Name

First Name

Last Name

Child's Gender

Girl

Boy

Child's Grade

Child's Shoe Size

Shoe size if other than a size listed above:

Please give a full description of the size - "Toddler 9.5" instead of just "9.5")