REGISTRATION FORM
The Town of Lake Park will host its annual Back to School Extravaganza (B2SE) on Saturday, August
8, from 10:00 am to 1:00 pm at Lake Park Town Hall (535 Park Avenue, Lake Park, FL 33403). This
year’s B2SE will be a drive-up event only. All participants will remain in their vehicles. To register, please
fill out the information below and return this form no later than Friday, July 24, 2020.
PARENT/GUARDIAN INFORMATION
STUDENT INFORMATION
Please list student’s three favorite colors. This information is used to help us provide the student with a
backpack in the color they prefer. Color selection cannot be guaranteed.
Color 1:
Color 2:
Color 3:
RETURN FORM
SPECIAL EVENTS DEPARTMENT
535 PARK AVENUE, LAKE PARK, FL 33403
FAX: 561-881-3314
EMAIL: SPECIALEVENTS@LAKEPARKFLORIDA.GOV
FOR MORE INFORMATION PLEASE CALL SPECIAL EVENTS DEPARTMENT AT 561-840-0160
Name:
Home Address:
City/State/Zip:
Phone Number:
Email Address:
Relationship to Student:
Name:
Current Age:
School:
Grade Level for 2020-2021 School Year:
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