Nominations Please refer a child for a new pair of back to school shoes. Shoes will be distributed at the Patterson Unified School District Block Party on August 10. Please complete the form below Name of child nominee * First Name Last Name Child shoe size * Select one55.566.577.588.599.510.51111.51212.51313.5 Child grade level * During the 2019-2020 school year Select oneFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeNinth GradeTenth GradeEleventh GradeTwelfth Grade School attending * Select oneApricot Valley ElementaryCreekside Middle SchoolDel Puerto High SchoolGrayson Elementary SchoolLas Palmas ElementaryNorthmead ElementaryPatterson High SchoolWalnut Grove School Parent / Guardian Name * First Name Last Name Parent / Guardian Address Address 1 Address 2 City State/Province Zip/Postal Code Country Parent / Guardian Phone Number * (###) ### #### Your name * First Name Last Name Your phone number (###) ### #### Thank you!
