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WITH PAT & EMMITT SMITH CHARITIES * Students entering grades 1-5 next August at the following schools are invited to celebrate back-to-school in a big way with Pat & Emmitt Smith Charities. CELEBRATE BACK-TO-SCHOOL TRANSPORTATION Free transportation from your school. Arrive by 9 a.m. to take the bus. REGISTER TODAY Call your school’s office manager to sign up! In partnership with retailer JCPenney, Pat & Emmitt Smith Charities invite you to a back-to-school bash complete with FREE: Brand new school uniforms | Dental screenings | Vision Screenings | Haircuts | Lunch WEDNESDAY, AUGUST 9, 2017 | 9AM – 5PM Ellis Davis Field House | 9191 S. Polk Street | Dallas, Texas 75224 BENEFITTING STUDENTS FROM: G.W. Carver Learning Center C.F. Carr Elementary Paul L. Dunbar Learning Center J.W. Ray Learning Center Elisha M. Pease Elementary Jill Stone Elementary School At Vickery Meadow *Families of students at the following schools are invited to attend with their children and enjoy the free lunch. Services will be provided only for students. Contact 972-925-3292 for additional information.

CELEBRATE BACK-TO-SCHOOL · CELEBRATE BACK-TO-SCHOOL TRANSPORTATION Free transportation from your school. ... CLASES TRANSPORTE Transportación gratis desde su escuela – debe abordar

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WITH PAT & EMMITT SMITH CHARITIES*Students entering grades 1-5 next August at the following schools are invited to celebrate back-to-school in a big way with Pat & Emmitt Smith Charities.

CELEBRATE BACK-TO-SCHOOL

TRANSPORTATION Free transportation from your school. Arrive by 9 a.m. to take the bus.

REGISTER TODAY Call your school’s office manager to sign up!

In partnership with retailer JCPenney, Pat & Emmitt Smith Charities invite you to a back-to-school bash complete with FREE:Brand new school uniforms | Dental screenings | Vision Screenings | Haircuts | Lunch

WEDNESDAY, AUGUST 9, 2017 | 9AM – 5PMEllis Davis Field House | 9191 S. Polk Street | Dallas, Texas 75224

BENEFITTING STUDENTS FROM:G.W. Carver Learning Center C.F. Carr Elementary Paul L. Dunbar Learning CenterJ.W. Ray Learning Center Elisha M. Pease Elementary Jill Stone Elementary School At Vickery Meadow

*Families of students at the following schools are invited to attend with their children and enjoy the free lunch. Services will be provided only for students.

Contact 972-925-3292 for additional information.

JCPenney will team up with Pat & Emmitt Smith Charities to provide a shopping experience for students at Carver Elementary, Carr Elementary, Jill Stone Elementary, Dunbar Elementary, JW Ray Elementary and Pease Elementary schools. STUDENTS ENTERING 1ST – 5TH GRADE IN THE 2017-2018 YEAR ARE INVITED TO ATTEND AND LUNCH WILL BE PROVIDED FOR ALL. Services will be provided for students only.

REGISTER: COMPLETE THIS FORM AND RETURN TO YOUR SCHOOL BY JUNE 1, 2017Bus transportation from your school to the Ellis Davis Field House will be available. If you will be using provided transportation, please check-in at your school on August 9, 2017 AT 8 AM. If you will be driving to the Ellis Davis Field House, please arrive at 9 AM to check-in.

Your child(ren) and one (1) parent or guardian will experience a “pop-up shop” where they will receive:

• Brand New School Uniform• Dental Screenings• Vision Screenings• Haircuts• Lunch

2017 BACK TO SCHOOL UNIFORM EVENT

SPONSORED BY

SUPPORTING

STUDENT REGISTRATION FORMPlease fill out one form for each student attending.

STUDENT INFORMATION

First Name MI Last Name Date of Birth

Grade Age Student ID

Will you require bus transportation from your school to Ellis Davis Field House? q Yes q No

PARENT / GUARDIAN INFORMATION

Name(s)

Address

Phone Email

THIS SIGNED FORM IS REQUIRED TO RECEIVE SERVICES.

I UNDERSTAND THAT MY CHILD WILL BE PHOTOGRAPHED AND VIDEOTAPED AT THIS EVENT AND PROVIDE MY CONSENT BY SIGNING HERE:

Signature:

ESSIE & RON HILL

CON PAT & EMMITT SMITH CHARITIES*Se invita a los estudiantes que ingresarán a los grados 1-5 en agosto en las siguientes escuelas a festejar en grande con Pat & Emmitt Smith Charities.

CELEBRE EL REGRESO A CLASES

TRANSPORTE Transportación gratis desde su escuela – debe abordar el autobús antes de las 9 a.m.

INSCRÍBASE HOY ¡Comuníquese con la administradora de la oficina de la escuela de su hijo para registrarlo!

MIÉRCOLES, 9 DE AGOSTO DE 2017 | 9AM – 5PMEllis Davis Field House | 9191 S. Polk Street | Dallas, Texas 75224

PARA LOS ESTUDIANTES DEG.W. Carver Learning Center C.F. Carr Elementary Paul L. Dunbar Learning CenterJ.W. Ray Learning Center Elisha M. Pease Elementary Jill Stone Elementary School At Vickery Meadow

La organizacion Pat & Emmitt Smith Charities, en colaboración con JCPenney, los invita a esta celebración donde podrán recibir lo siguiente GRATIS:Nuevos uniformes escolares | Revisiones dentales | Exámenes de la vista | Cortes de cabello | Almuerzo

*Se invita a las familias de dichos estudiantes a que asistan con sus hijos y disfruten el almuerzo gratis. Los servicios se proporcionarán solo a los estudiantes.

Para más información, comuníquese al 972-925-3292.

FORMA REGISTRACIÓN PARA ESTUDIANTESLlenar una forma para cada estudiante atendiendo.

INFORMACIÓN DE ESTUDIANTE

Primer Nombre Segundo Nombre

Apellido(s) Fecha de Nacimiento

Grado Edad Identificación de Estudiante

¿Necesitará transporte en autobús desde su escuela a Ellis Davis Field House? q Si q No

INFORMACIÓN SOBRE PADRES / GUARDIANES

Nombre(s)

Domicilio

Teléfono Email

ESTA FORMA FIRMADA SE REQUIERE PARA RECIVIR SERVICIOS.

EL EVENTO DE UNIFORMES REGRESO A LA ESCUELA 2017

PATROCINADO POR

APOYO

ESSIE & RON HILL

JCPenney se asociará con Pat & Emmitt Smith Charities para proporcionar una experiencia de compra para los estudiantes de Carver Elementary, Carr Elementary, Jill Stone Elementary, Dunbar Elementary, JW Ray Elementary y Pease Elementary escuelas. LOS ESTUDIANTES QUE ENTRAN EN EL 1O - 5to GRADO EN EL AÑO 2017-2018 SON INVITADOS A ASISTIR Y EL ALMUERZO SERÁ PROPORCIONADO PARA TODOS. Los servicios serán proporcionados sólo para estudiantes.

REGÍSTRATE: COMPLETE ESTE FORMULARIO Y REGRESE A SU ESCUELA HASTA EL 1 DE JUNIO DE 2017El transporte de autobús de su escuela a la casa de campo de Ellis Davis estará disponible. Si va a usar el transporte proporcionado, por favor llame a su escuela el 9 de agosto de 2017 A las 8 AM. Si va a conducir a la Ellis Davis Field House, por favor llegue a las 9 am para el check-in.

Su (s) hijo (s) y uno (1) padre o tutor tendrán una “tienda emergente” donde recibirán:

• Uniforme escolar nuevo• Pruebas dentales• Proyecciones de Visión• Cortes de pelo• Almuerzo

ENTIENDO QUE MI HIJO SERÁ FOTOGRAFADO Y VIDEOTAPADO EN ESTE ACONTECIMIENTO Y PROPORCIONARÁ MI CONSENTIMIENTO FIRMANDO AQUÍ:

Firma: