College Care Package Sign Up

Please fill out this form and click submit.

Thank you for helping us ensure that all of our college students are cared for by our church! Please fill out the below form with your contact information and your college student's contact information so that we can keep in touch about the status of care packages as we move later into the year.

Name

*

Phone

*

Address

*

Your relation to the student

*

Please select one option.

Parent Sibling Self Friend Other

College Student's First and Last Name

*

College Student's Phone

*

College Student's Address Address

*

What school will the above student be attending during the 2025-2026 fall semester?

*

College Student's Tshirt Size

*

Please select one option.

XS S M L XL Other

If you selected "other" on the previous question, please list your size here.

Are you or your student members at Hernando Baptist Church?

*

Please select one option.

Yes Pursuing Membership No

Description

Please fill out this form and click submit.

Please Fix the Following

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