Let’s put an end to poverty and hoplesness world-wide!

NIRVANA HEALING MINISTRIES 

2019 Back to School Giveaway Application


Parent/Guardian Name_________________________________

Phone_________________________________

Address________________________________

Email__________________________________



Child’s Name/Upcoming Grade Level/Gender

( Up to 5 children per family)


  1. ______________________________________


  2. ______________________________________


  3.______________________________________


  4.______________________________________


  5.______________________________________


All families selected will will be contacted prior to event with confirmation details. The first 500 families in need who return this application will be approved. We at Nirvana Healing Ministries thank you for your participation and look forward to assisting you. If you have any questions please call our office at 813-513-2923.