2026 BACK TO SCHOOL

BACK TO SCHOOL ITEMS
Backpack Pick-Up Options. Please select the option at the bottom the form so we know where you will be picking up.

Families who are registered to receive backpacks may choose one of the following pickup locations. While you're there, learn more about the resources, programs, and support services ASA Now offers for children, youth, and families impacted by foster care.

Pick up Information:
Thursday July 9
12:00 PM – 6:00 PM
ASA Now Community Center
7830 E University Dr.
Mesa, AZ

Registration is required.

A parent or legal caregiver must be present to pick up the backpacks.
We invite you to stop by our information table to learn about ASA Now's year-round programs, advocacy services, family events, support groups, immediate needs assistance, educational opportunities, and volunteer opportunities available to families impacted by foster care.
Primary Contact/ Guardian Name

First NameLast Name
Group Home Name if Applicable
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
We are required to gather data about the children, youth, and families we serve. This question will ask if your family falls below following income levels based on household size: 1 person: $23,940/ 2 people: $32,460/ 3 people: $40,980/ 4 people: $49,500/ 5 people: $58,020/ 6 people: $66,540/ 7 people: $75,060/ 8 people: $83,580/ Add $8,520 per additional household member
Total House hold numbers. This includes everyone living in the home
Total House hold Adults living in home?
Total House hold Youth living in home? (18 but still in high school counts as youth)
Total youth in Foster care living in home?
Total youth adopted living in home?
Total biological youth living in home?
Total Non DCS kinship/other living in home?
Please enter the number for Backpacks needed below and ALL of youths name below in order for registration to be completed.
How many Youth Kinder - 12TH GRADE WILL BE GETTING A BACKPACK?
How many youth in foster care will be getting a backpack?
Complete Please information below for each youth
Please Enter ALL Youth that will be receiving a backpack. Hit ADD NEW until all children are in the system
Please Click on Location and Pick up information below:
Signature
Should be Empty:

BACK TO SCHOOL ITEMS

Please enter the number for Backpacks needed below and ALL of youths name below in order for registration to be completed.